# HARRY J. KOURI, JR., D.D.S.,P.A.

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

## Provider details

- **NPI number:** 1417085317
- **Authorized official:** DR. HARRY J KOURI JR. D.D.S. (OWNER)
- **Authorized official phone:** (316) 686-3140

## Contact information

- **Practice address:** 6611 E CENTRAL AVE, WICHITA, KS 67206-1937
- **Practice address phone:** (316) 686-3140
- **Practice address fax:** (316) 686-1107
- **Mailing address:** 6611 E CENTRAL AVE, WICHITA, KS 67206-1937
- **Mailing address phone:** (316) 686-3140
- **Mailing address fax:** (316) 686-1107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5026 | KS | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 116606 | BLUE CROSS BLUE SHIELD | KS |