Provider Demographics
NPI:1346462231
Name:FATOURACHI, HOURI (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOURI
Middle Name:
Last Name:FATOURACHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 SOUTH MELROSE DRIVE
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081
Mailing Address - Country:US
Mailing Address - Phone:760-734-4400
Mailing Address - Fax:760-734-4454
Practice Address - Street 1:2325 SOUTH MELROSE DRIVE
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081
Practice Address - Country:US
Practice Address - Phone:760-734-4400
Practice Address - Fax:760-734-4454
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA478871223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry