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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOHO- SENIOR ORAL HEALTH OUTREACH

Active Organization

Dental Public Health · PHOENIX, AZ

Registration Details

NPI Number
1366988404
Provider Type
Organization
NPI Issued
Jan 12, 2017 (9.2731415031156 yrs)
Last Updated
Jan 12, 2017
Licenses
D08533 (AZ)
D08533 (AZ)
D08533 (AZ)

Practice Information

Address
4901 N 44TH ST
SUITE 102
PHOENIX, AZ, 850182782
Browse AZ providers · Browse ZIP 85018
Phone
4807790227
Primary Specialty
Dental Public Health
1223D0001X
Additional Specialty
Dental Clinic
Additional Specialty
Dental Public Health
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.