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DR. MAHDI ALI DMD, MPH

>> Dentist >> Dental Providers

Registrant NPI Number: 1881728970

Individual Registrant:
DR. MAHDI  ALI DMD, MPH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3830 W PINNACLE PEAK RD SUITE 103 GLENDALE, AZ 85310-4006 US
Tel: 623-587-0300  Fax: 866-316-7796

Contact information for business:
PO BOX 2924  SCOTTSDALE, AZ 85252-2924 US
Tel: 480-208-7436  Fax: 866-316-7796

Registration Information:
NPI: 1881728970
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AZD7481
N122300000XDental Providers
Dentist
IL019026327

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
9180012IL05




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