NPI | 1891906624 |
---|---|
Other Name | SAM SIAMAK MARGHZAR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 41954) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 41954) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2024-03-25 |