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Individual
SOHEIL ROSTAMI
Active
Individual
SOHEIL ROSTAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401416147
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
0401416147
VA
Other
Enumeration date
05/30/2018
Last updated
06/29/2023
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