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Individual

DR. DAVID MARK HAZZOURI SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
211 S. 7TH AVE., SCRANTON, PA 18505
(570) 961-6030
(570) 961-6030
Mailing address
211 S. 7TH AVE., SCRANTON, PA 18505
(570) 961-6030
(570) 961-6030

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027711L
PA
1223P0700X
Prosthodontics
DS027711L
PA

Other

Enumeration date
08/05/2007
Last updated
04/20/2022
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