Lily Sorourifar

NPI #1780255539 in Wasilla, Alaska

Provider Information

NPI Number
1780255539
Entity Type
Individual
Name
Lily Sorourifar
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 2, 2021
Last Updated
Jul 2, 2021

Practice Location

Address
865 N SEWARD MERIDIAN PKWY
State
Alaska
ZIP Code
99654-7241
Phone
(888) 831-5007

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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