| Sorours Dental Office Corporation | |
|
17185 Arrow Blvd Fontana CA 92335-3972 | |
| (909) 587-2474 | |
| (909) 365-4358 |
| Full Name | Sorours Dental Office Corporation |
|---|---|
| Speciality | Dentist |
| Location | 17185 Arrow Blvd, Fontana, 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 |
|---|---|
| Sorours Dental Office Corporation 6633 Atlantic Ave Bell CA 90201-2523 Ph: (323) 456-7377 | Sorours Dental Office Corporation 17185 Arrow Blvd Fontana CA 92335-3972 Ph: (909) 587-2474 |
| NPI Number | 1528831781 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528831781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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