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Organization
SOROURS DENTAL OFFICE CORPORATION
Active
Organization
SOROURS DENTAL OFFICE 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
17185 ARROW BLVD, FONTANA, CA 92335-3972
(909) 587-2474
(909) 365-4358
Mailing address
6633 ATLANTIC AVE, BELL, CA 90201-2523
(323) 456-7377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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