| Sorour Dental Group Corp | |
|
3173 Tweedy Blvd South Gate CA 90280-5739 | |
| (323) 564-4554 | |
| Not Available |
| Full Name | Sorour Dental Group Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3173 Tweedy Blvd, South Gate, California |
| Authorized Official Name and Position | Selvana Sorour (VICE PRESIDENT) |
| Authorized Official Contact | 3107953363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorour Dental Group Corp 13340 Hawthorne Blvd Hawthorne CA 90250-5805 Ph: (310) 795-3363 | Sorour Dental Group Corp 3173 Tweedy Blvd South Gate CA 90280-5739 Ph: (323) 564-4554 |
| NPI Number | 1073032165 |
|---|---|
| Provider Enumeration Date | 09/11/2017 |
| Last Update Date | 09/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073032165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (California) | Primary |
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