Sorour Kids Dental Group, INC
NPI #1558936062 in Fresno, California
Provider Information
- NPI Number
- 1558936062
- Entity Type
- Organization
- Organization Name
- Sorour Kids Dental Group, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 26, 2021
- Last Updated
- Oct 20, 2021
Practice Location
- Address
- 1515 W SHAW AVE STE 101
- City
- Fresno
- State
- California
- ZIP Code
- 93711-3514
- Phone
- (559) 227-1700
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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