# GLEN BURNIE ORAL SURGERY ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mid-Atlantic Oral Surgery Specialists & Dental Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851968549
- **Authorized official:** DR. SAMAN SOURI DMD (PRESIDENT)
- **Authorized official phone:** (917) 701-3581

## Contact information

- **Practice address:** 677 E PULASKI HWY STE D, ELKTON, MD 21921-6037
- **Practice address phone:** (917) 701-3581
- **Mailing address:** 2508 STONE CLIFF DR, BALTIMORE, MD 21209-3733
- **Mailing address phone:** (917) 701-3581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2021
- **Last updated:** 06/10/2021