Sorours Dental Office Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SOROURS DENTAL OFFICE CORPORATION

Practice address

17185 Arrow Blvd
Fontana, CA 92335-3972

Phone

(909) 587-2474

Fax

(909) 365-4358

NPI assigned

Oct 31, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Selvana Sorour, D.M.D

Title

Vice President

Phone

(310) 795-3363

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1528831781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 ATLANTIC AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902012523",
            "telephone_number": "323-456-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17185 ARROW BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353972",
            "telephone_number": "909-587-2474",
            "fax_number": "909-365-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOROURS DENTAL OFFICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "SOROUR",
        "authorized_official_first_name": "SELVANA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-795-3363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Somontan
• Chang-Ho Song, MD
• Yiping Song, D.D.S.
• Soo-Dong Kim, D.D.S., Inc.
• Stacy Soria
• Keturah Mesha Sorrells
• Jasmine Sosa, PHARMD
• Heaven L Soto
• Jasmin A Soto, GRNA
• South Pacific Rehabilitation Services

• Dentist in Fontana, CA
• Providers in Fontana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.