| NPI | 1114484516 |
|---|---|
| Former Legal Business Name | SOSUAN AMIRI DDS PA |
| Entity Type | Organization |
| Authorized Contact | SOUSAN AMIRI Owner 704-769-2523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |