| Sorour D.m.d, P.c | |
|
13340 Hawthorne Blvd Hawthorne CA 90250-5805 | |
| (310) 973-8004 | |
| (310) 973-8005 |
| Full Name | Sorour D.m.d, P.c |
|---|---|
| Speciality | Dentist |
| Location | 13340 Hawthorne Blvd, Hawthorne, California |
| Authorized Official Name and Position | Tharwat Sorour (PRESIDENT) |
| Authorized Official Contact | 3109738004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorour D.m.d, P.c 13340 Hawthorne Blvd Hawthorne CA 90250-5805 Ph: (310) 973-8004 | Sorour D.m.d, P.c 13340 Hawthorne Blvd Hawthorne CA 90250-5805 Ph: (310) 973-8004 |
| NPI Number | 1447440482 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 07/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447440482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54393 (California) | Primary |
| 122300000X | Dentist | 54394 (California) | Secondary |
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