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Organization
SOROUR DMD DENTAL PRACTICE
Active
Organization
SOROUR DMD DENTAL PRACTICE
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
1601 N LONG BEACH BLVD, COMPTON, CA 90221-1610
(310) 639-5000
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
11/06/2020
Last updated
11/06/2020
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