George Khazoum, D.D.S
NPI 1669994232 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1905 Convenience Pl Ste A
Champaign, IL 61820 - Phone
- (217) 355-5165
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- Dentist
General Practice Dentistry
General Practice Dentistry - Licence states on file
- FL, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois