| Sorour Kids Dental Practice, Inc | |
|
1011 E Avenue J Lancaster CA 93535-3839 | |
| (661) 948-8100 | |
| Not Available |
| Full Name | Sorour Kids Dental Practice, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1011 E Avenue J, Lancaster, 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 Kids Dental Practice, Inc 6633 Atlantic Ave Bell CA 90201-2523 Ph: (323) 456-7377 | Sorour Kids Dental Practice, Inc 1011 E Avenue J Lancaster CA 93535-3839 Ph: (661) 948-8100 |
| NPI Number | 1578248696 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578248696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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