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Organization

SHINE ORAL AND FACIAL SURGERY ASSOCIATES P.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMAN SOURI DMD (PRESIDENT)
(917) 701-3581
Entity
Organization

Contact information

Practice address
400 N BUCKSTOWN RD, SUITE 2A, LANGHORNE, PA 19047-8310
(215) 750-0200
(215) 750-1067
Mailing address
92 MAPLE ST, GREAT NECK, NY 11023-1133
(917) 701-3581
(215) 750-1067

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS038427
PA

Other

Enumeration date
01/15/2014
Last updated
01/15/2014
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