Dental Board of California
Licensing details for: 1163
Name: SOROUR, SELVANA
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
13340 HAWTHORNE BLVD
HAWTHORNE CA 90250
LOS ANGELES county
Map
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: SOROUR, SELVANA
License/Registration Type: Dentist License
License Number: 54394 Primary Status: Current - Active
Address :
13340 HAWTHORNE BLVD
HAWTHORNE CA 90250
LOS ANGELES COUNTY



