Sorours Dental Office Corporation

NPI #1528831781 in Fontana, California

Provider Information

NPI Number: 1528831781
Entity Type: Organization
Organization Name: Sorours Dental Office Corporation
Primary Specialty: Dentist
Enumeration Date: Oct 31, 2023
Last Updated: Oct 31, 2023

Practice Location

Address: 17185 ARROW BLVD
City: Fontana
State: California
ZIP Code: 92335-3972
Phone: (909) 587-2474

Authorized Official

Name: DR. SELVANA SOROUR, D.M.D
Title: VICE PRESIDENT
Phone: (310) 795-3363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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