Provider Demographics
NPI:1194531749
Name:HAROUNI DDS OMFS, INC
Entity type:Organization
Organization Name:HAROUNI DDS OMFS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAROUNI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-927-6461
Mailing Address - Street 1:1531 CAMDEN AVE PH 1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-3447
Mailing Address - Country:US
Mailing Address - Phone:310-927-6461
Mailing Address - Fax:
Practice Address - Street 1:841 MOHAWK ST # 130
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1506
Practice Address - Country:US
Practice Address - Phone:661-835-7389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty