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Organization
SOROUR KIDS DENTAL PRACTICE, INC
Active
Organization
SOROUR KIDS DENTAL PRACTICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELVANA SOROUR DMD (VICE PRESIDENT)
(310) 795-3363
Entity
Organization
Contact information
Practice address
1011 E AVENUE J, LANCASTER, CA 93535-3839
(661) 948-8100
Mailing address
6633 ATLANTIC AVE, BELL, CA 90201-2523
(323) 456-7377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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