Provider Demographics
NPI:1184195349
Name:KAZEM HOSNY, DDS APC
Entity Type:Organization
Organization Name:KAZEM HOSNY, DDS APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:KAZEM
Authorized Official - Middle Name:F
Authorized Official - Last Name:HOSNY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, APC
Authorized Official - Phone:909-984-4746
Mailing Address - Street 1:126 W B ST
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-3503
Mailing Address - Country:US
Mailing Address - Phone:909-984-4746
Mailing Address - Fax:
Practice Address - Street 1:126 W B ST
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-3503
Practice Address - Country:US
Practice Address - Phone:909-984-4746
Practice Address - Fax:909-984-4414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental