Sorour Dental Practice Corp
NPI #1518447929 in Hawthorne, California
Provider Information
- NPI Number
- 1518447929
- Entity Type
- Organization
- Organization Name
- Sorour Dental Practice Corp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 15, 2018
- Last Updated
- Aug 15, 2018
Practice Location
- Address
- 13340 HAWTHORNE BLVD
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-5805
- Phone
- (310) 973-8004
Authorized Official
- Name
- DR. SELVANA SOROUR, DMD
- Title
- VICE-PRESIDENT
- Phone
- (310) 795-3363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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