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Organization
SOROUR DMD PC
Active
Organization
SOROUR DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THARWAT SOROUR DMD (PRESIDENT)
(310) 973-9004
Entity
Organization
Contact information
Practice address
14979 PRAIRE AVE, LAWNDALE, CA 90260
(310) 973-9004
(310) 973-9005
Mailing address
14979 PRAIRE AVE, LAWNDALE, CA 90260
(310) 973-9004
(310) 973-9005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54393
CA
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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