Marvis Sorrell, D.m.d., Inc. | |
4301 Atlantic Ave Suite 3 Long Beach CA 90807-2833 | |
(562) 427-1426 | |
Not Available |
Full Name | Marvis Sorrell, D.m.d., Inc. |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 4301 Atlantic Ave, Long Beach, California |
Authorized Official Name and Position | Marvis Yvonne Sorrell (PRESIDENT) |
Authorized Official Contact | 5624271426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marvis Sorrell, D.m.d., Inc. 2317 Promontory Dr Signal Hill CA 90755-3859 Ph: (562) 201-2929 | Marvis Sorrell, D.m.d., Inc. 4301 Atlantic Ave Suite 3 Long Beach CA 90807-2833 Ph: (562) 427-1426 |
NPI Number | 1457775660 |
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Provider Enumeration Date | 02/07/2014 |
Last Update Date | 02/07/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457775660 | NPI | - | NPPES |
31711 | Other | CA | CALIFORNIA DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 31711 (California) | Primary |
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