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Individual

DR. OMAIMA SAMI SAMAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
407 N 4TH ST, BUCKEYE, AZ 85326-2442
(623) 327-3206
(623) 327-0563
Mailing address
18395 N 114TH AVE, SURPRISE, AZ 85374-6967
(623) 875-0043

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6544
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D6544
DENTAL LICENSE
AZ
Enumeration date
04/10/2007
Last updated
03/02/2010
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