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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