Individual
DR. SEPIDEH SABOOREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, DMD
Contact information
Practice address
960115 GATEWAY BLVD STE 1, FERNANDINA BEACH, FL 32034-9129
(904) 491-0111
Mailing address
365 BRYNFIELD PKWY, SUWANEE, GA 30024-2985
(404) 626-0063
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
92077
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DGD.10930
SC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN21538
FL
Other
Enumeration date
03/18/2015
Last updated
09/11/2024
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