| NPI | 1366988404 |
|---|---|
| Doing Business As | SOHO- SPECIAL ORAL HEALTH OUTREACH |
| Entity Type | Organization |
| Authorized Contact | STEFANIE HOURANI Director 402-650-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: AZ D08533) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D08533) |
| 261QD0000X Clinic/Center, Dental (Licence: AZ D08533) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |