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General NPI Number Information
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NPI Number | 1255147211
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Entity Type | Organization
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Legal Business Name | JOSEPH HOURANY DENTAL CORPORATION
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 14190 BEAR VALLEY RD STE B
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City | VICTORVILLE
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State | CA
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Zip | 92392-7658
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Country | US
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Telephone | 760-640-6006
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Fax |
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Provider Business Mailing Address
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Address Line | 14190 BEAR VALLEY RD STE B
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City | VICTORVILLE
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State | CA
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Zip | 92392-7658
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Country | US
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Telephone | 760-640-6006
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Fax |
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Authorized Official
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Title or Position | OWNER/ORTHODONTIST
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Name | DR. JOSEPH HOURANY
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Credential | DDS, MS
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Telephone | 760-946-3037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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