Soho- Senior Oral Health Outreach
Soho- Senior Oral Health Outreach provides Public Health Dentistry in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2017.
- Licensed in
- AZ
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
4901 N 44th St Ste 102Phoenix, AZ 85018-2782
Phone: (480) 779-0227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health Dentistry (primary) | Taxonomy 1223D0001X · Licence D08533 (AZ) |
|---|---|
| Pediatric Dentistry | Taxonomy 1223P0221X · Licence D08533 (AZ) |
| Dental Clinic/Center | Taxonomy 261QD0000X · Licence D08533 (AZ) |
Record details
| NPI number | 1366988404 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stefanie Hourani — Director · (402) 650-0686 |
| Other names | Soho- Special Oral Health Outreach |
| NPI enumerated | January 12, 2017 |
| Last updated in NPPES | January 12, 2017 |
| Mailing address | 4901 N 44th St, Suite 102, Phoenix, AZ 85018-2782 |
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