GHASSAN G KHURI-NASRALLAH DDS
Dentist


Address: 76 Chester Road Unit 1, Belmont, MA 02478

GHASSAN G KHURI-NASRALLAH DDS (Credential# 703821) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2015. The license expiration date date is September 30, 2016. The license status is INACTIVE.

Business Overview

GHASSAN G KHURI-NASRALLAH DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009369. The credential type is dentist. The effective date is October 1, 2015. The expiration date is September 30, 2016. The business address is 76 Chester Road Unit 1, Belmont, MA 02478. The current status is inactive.

Basic Information

Licensee Name GHASSAN G KHURI-NASRALLAH DDS
Credential ID 703821
Credential Number 2.009369
Credential Type Dentist
Business Address 76 Chester Road Unit 1
Belmont
MA 02478
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-09-30
Effective Date 2015-10-01
Expiration Date 2016-09-30
Refresh Date 2017-01-03

Other licenses

ID Credential Code Credential Type Issue Term Status
396046 CSP.0037034 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-02-15 2008-03-14 - 2009-02-28 INACTIVE

Office Location

Street Address 76 Chester Road UNIT 1
City Belmont
State MA
Zip Code 02478

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Competitor

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City Belmont
Zip Code 02478
License Type Dentist
License Type + County Dentist + Belmont

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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