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BANO QUTUB ALI DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1871130989

Individual Registrant:
 BANO QUTUB ALI DMD
Gender: F
Sole Proprietor

Location and contact information for practice:
41 ADMIRAL CALLAGHAN LN  VALLEJO, CA 94591-4000 US
Tel: 713-922-1063  Fax: --

Contact information for business:
417 EVELYN AVE APT 201  ALBANY, CA 94706-1321 US
Tel: --  Fax: --

Registration Information:
NPI: 1871130989
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA104200

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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