| Sorour Dmd Pc | |
|
14979 Praire Ave Lawndale CA 90260 | |
| (310) 973-9004 | |
| (310) 973-9005 |
| Full Name | Sorour Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14979 Praire Ave, Lawndale, California |
| Authorized Official Name and Position | Tharwat Sorour (PRESIDENT) |
| Authorized Official Contact | 3109739004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorour Dmd Pc 14979 Praire Ave Lawndale CA 90260 Ph: (310) 973-9004 | Sorour Dmd Pc 14979 Praire Ave Lawndale CA 90260 Ph: (310) 973-9004 |
| NPI Number | 1659681773 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 10/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659681773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54393 (California) | Primary |
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