Provider Demographics
NPI:1659402105
Name:HARIRI, SONIA S (DDS)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:S
Last Name:HARIRI
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 1:1840 N CRAYCROFT RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-3702
Mailing Address - Country:US
Mailing Address - Phone:520-886-2822
Mailing Address - Fax:520-886-2229
Practice Address - Street 1:1840 N CRAYCROFT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-3702
Practice Address - Country:US
Practice Address - Phone:520-886-2822
Practice Address - Fax:520-886-2229
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2023-05-09
Deactivation Date:2019-11-21
Deactivation Code:
Reactivation Date:2023-05-09
Provider Licenses
StateLicense IDTaxonomies
AZ4971122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist