Shorouq Sahawneh
Dentist in Downey, CA. Organization (NPI-2).
NPI number1033457635
StatusActive
Last updated in NPPESJul 24, 2015
Details
- NPI
- 1033457635
- Entity type
- Organization (NPI-2)
- Legal business name
- Shorouq Sahawneh
- Organization subpart
- No
- Enumeration date
- Jan 17, 2013
- Last updated
- Jul 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 55643 | CA | Yes |
| 1223G0001X | Dentist, General Practice | – | – |
Other names
- Brightnow Dental Downey (Doing Business As)
Practice location
8612 Firestone BlvdDowney, CA 90241
Phone 562-382-1528 · Fax 562-869-2819
Mailing address
8612 Firestone BlvdDowney, CA 90241
Phone 562-382-1528 · Fax 562-869-2819
Authorized official
Shorouq Sahawneh
President
7145786358
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