| NPI | 1649136136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOROUSH SAMIMI Oral & Maxillofacial Surgeon 678-230-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2025-12-29 |