Individual
DR. DIA SORONGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7068 SEPULVEDA BLVD, VAN NUYS, CA 91405-2926
(818) 781-1533
(818) 781-2877
Mailing address
2319 ARCHWOOD LN, 123, SIMI VALLEY, CA 93063-6538
(818) 781-1533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50737
CA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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