| Sorour D.m.d P,c | |
|
18450 Dearborn St Northridge CA 91325-2259 | |
| (818) 736-9339 | |
| Not Available |
| Full Name | Sorour D.m.d P,c |
|---|---|
| Speciality | Dentist |
| Location | 18450 Dearborn St, Northridge, California |
| Authorized Official Name and Position | Selvana Sorour (PRESIDENT) |
| Authorized Official Contact | 8187369339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorour D.m.d P,c 18450 Dearborn St Northridge CA 91325-2259 Ph: (818) 736-9339 | Sorour D.m.d P,c 18450 Dearborn St Northridge CA 91325-2259 Ph: (818) 736-9339 |
| NPI Number | 1013362854 |
|---|---|
| Provider Enumeration Date | 04/29/2016 |
| Last Update Date | 04/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013362854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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