Provider Demographics
NPI:1952123788
Name:SOOFERI & SOOFERIAN DENTISTRY, PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:SOOFERI & SOOFERIAN DENTISTRY, PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOOFERIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-692-1330
Mailing Address - Street 1:11610 SLAUSON AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-3340
Mailing Address - Country:US
Mailing Address - Phone:562-692-1330
Mailing Address - Fax:
Practice Address - Street 1:11610 SLAUSON AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-3340
Practice Address - Country:US
Practice Address - Phone:562-692-1330
Practice Address - Fax:562-692-1335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty