Sorour Dental Group Corp
NPI #1073032165 in South Gate, California
Provider Information
- NPI Number
- 1073032165
- Entity Type
- Organization
- Organization Name
- Sorour Dental Group Corp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 11, 2017
- Last Updated
- Sep 11, 2017
Practice Location
- Address
- 3173 TWEEDY BLVD
- City
- South Gate
- State
- California
- ZIP Code
- 90280-5739
- Phone
- (323) 564-4554
Authorized Official
- Name
- MISS SELVANA SOROUR, D.M.D
- Title
- VICE PRESIDENT
- Phone
- (310) 795-3363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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