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General NPI Number Information
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NPI Number | 1861214033
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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 | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 18590 VAN BUREN BLVD STE 2B
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City | RIVERSIDE
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State | CA
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Zip | 92508-4804
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Country | US
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Telephone | 951-398-7900
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Fax | 951-398-7903
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Provider Business Mailing Address
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Address Line | 18590 VAN BUREN BLVD STE 2B
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City | RIVERSIDE
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State | CA
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Zip | 92508-4804
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Country | US
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Telephone | 951-398-7900
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Fax | 951-398-7903
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | SAMI A ALI
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Credential | DDS., MSED.
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Telephone | 951-398-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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