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NPI Code Detail

MEDICARE: DR. MUHAMMAD R ALI BDS

MEDICARE:  DR. MUHAMMAD R ALI  BDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry9934FL

General Provider Information

NPI Number : 1407951403
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUHAMMAD R ALI BDS
Provider Business Mailing Address
First Line : 2447 N WICKHAM RD STE 116
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-8127
Country : US
Telephone Number : 321-956-0999
Fax Number : 321-752-4274
Provider Business Practice Location Address
First Line : 2447 N WICKHAM RD STE 116
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-8127
Country : US
Telephone Number : 321-956-0999
Fax Number : 321-752-4274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MUHAMMAD R ALI BDS” Practice Location

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