Organization
HARRY J. KOURI, JR., D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY J KOURI JR. D.D.S. (OWNER)
(316) 686-3140
Entity
Organization
Contact information
Practice address
6611 E CENTRAL AVE, WICHITA, KS 67206-1937
(316) 686-3140
(316) 686-1107
Mailing address
6611 E CENTRAL AVE, WICHITA, KS 67206-1937
(316) 686-3140
(316) 686-1107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5026
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116606
BLUE CROSS BLUE SHIELD
KS
Enumeration date
03/01/2007
Last updated
08/22/2020
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