Organization
GLEN BURNIE ORAL SURGERY ASSOCIATES PC
Active
Other names
Mid-Atlantic Oral Surgery Specialists & Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMAN SOURI DMD (PRESIDENT)
(917) 701-3581
Entity
Organization
Contact information
Practice address
677 E PULASKI HWY STE D, ELKTON, MD 21921-6037
(917) 701-3581
Mailing address
2508 STONE CLIFF DR, BALTIMORE, MD 21209-3733
(917) 701-3581
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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