Individual
SAMIR WARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1015
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D012389
AZ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
62798
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
74684
AZ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D13292
MN
Other
Enumeration date
05/29/2013
Last updated
02/13/2025
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