Individual
DR. SOROUSH SAMIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
701 E COMMERCIAL BLVD, OAKLAND PARK, FL 33334-3391
(954) 772-2000
Mailing address
200 ALBERT SABIN WAY OFC 2220, CINCINNATI, OH 45267-2800
(513) 584-2586
(513) 584-1125
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN29944
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
04/08/2025
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