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Individual
DR. SOROUSH TOM AMINI
Active
Individual
DR. SOROUSH TOM AMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11873
OR
Other
Enumeration date
08/01/2023
Last updated
08/09/2023
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