# ALBERT A HAZZOURI JR DDS, MS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306170055
- **Authorized official:** DR. ALBERT A HAZZOURI JR. DDS, MS (OWNER)
- **Authorized official phone:** (570) 342-9136

## Contact information

- **Practice address:** 600 LACKAWANNA AVE, SUITE 300, SCRANTON, PA 18503-2046
- **Practice address phone:** (570) 342-9136
- **Practice address fax:** (570) 344-0299
- **Mailing address:** 600 LACKAWANNA AVE, SUITE 300, SCRANTON, PA 18503-2046
- **Mailing address phone:** (570) 342-9136
- **Mailing address fax:** (570) 344-0299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS023426 | PA | — |
| 122300000X | Dentist | DS024299L | PA | Yes |
| 122300000X | Dentist | DS036530 | PA | — |

## Other

- **Enumeration date:** 09/29/2009
- **Last updated:** 09/29/2009