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General NPI Number Information
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NPI Number | 1396498564
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Entity Type | Organization
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Legal Business Name | SAMI A. ALI, DDS., INC
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 10165 FOOTHILL BLVD STE 21
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-0342
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Country | US
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Telephone | 909-484-3000
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Fax | 909-484-3006
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Provider Business Mailing Address
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Address Line | 10165 FOOTHILL BLVD STE 21
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-0342
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Country | US
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Telephone | 909-484-3000
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Fax | 909-484-3006
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | SAMI AHMED ALI
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Credential | DDS., MSE.D
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Telephone | 909-373-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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