| Sorour Dental Corporation | |
|
14415 Chase St Panorama City CA 91402-3017 | |
| (818) 830-9050 | |
| (818) 830-9025 |
| Full Name | Sorour Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 14415 Chase St, Panorama City, 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 Corporation 14415 Chase St Panorama City CA 91402-3017 Ph: (818) 830-9050 | Sorour Dental Corporation 14415 Chase St Panorama City CA 91402-3017 Ph: (818) 830-9050 |
| NPI Number | 1154860872 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154860872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Primary |
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