| NPI | 1871939827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THRWAT SOROUR President 310-973-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 54393) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |