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AMJAD ALI

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1003322520

Individual Registrant:
 AMJAD  ALI 
Gender: M
Sole Proprietor

Location and contact information for practice:
4804 W CHERRYWOOD CT  MIDLAND, TX 79707-2601 US
Tel: 281-785-5300  Fax: 281-785-5300

Contact information for business:
350 N CLARK ST STE 600  CHICAGO, IL 60654-4782 US
Tel: 281-785-5300  Fax: --

Registration Information:
NPI: 1003322520
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
IL019.031485
N390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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