Organization
ALBERT A HAZZOURI JR DDS, MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT A HAZZOURI JR. DDS, MS (OWNER)
(570) 342-9136
Entity
Organization
Contact information
Practice address
600 LACKAWANNA AVE, SUITE 300, SCRANTON, PA 18503-2046
(570) 342-9136
(570) 344-0299
Mailing address
600 LACKAWANNA AVE, SUITE 300, SCRANTON, PA 18503-2046
(570) 342-9136
(570) 344-0299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS023426
PA
122300000X
Dentist
Primary
DS024299L
PA
122300000X
Dentist
DS036530
PA
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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