Organization
SOHO- SENIOR ORAL HEALTH OUTREACH
Active
Other names
SOHO- Special Oral Health Outreach
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFANIE HOURANI DDS (DIRECTOR)
(402) 650-0686
Entity
Organization
Contact information
Practice address
4901 N 44TH ST, SUITE 102, PHOENIX, AZ 85018-2782
(480) 779-0227
Mailing address
4901 N 44TH ST, SUITE 102, PHOENIX, AZ 85018-2782
(480) 779-0227
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D08533
AZ
1223P0221X
Pediatric Dentistry
D08533
AZ
261QD0000X
Dental Clinic/Center
D08533
AZ
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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