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Organization
SOROUR DENTAL CORPORATION
Active
Organization
SOROUR DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELVANA SOROUR D.M.D (VICE PRESIDENT)
(310) 795-3363
Entity
Organization
Contact information
Practice address
14415 CHASE ST, PANORAMA CITY, CA 91402-3017
(818) 830-9050
(818) 830-9025
Mailing address
14415 CHASE ST, PANORAMA CITY, CA 91402-3017
(818) 830-9050
(818) 830-9025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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