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General NPI Number Information
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NPI Number | 1932528049
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Entity Type | Organization
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Legal Business Name | NILOFAR K. ALI, D.D.S., P.A.
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 2030 GESSNER RD STE A
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City | HOUSTON
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State | TX
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Zip | 77080-6342
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Country | US
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Telephone | 713-984-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 6834 PRESTON GROVE DR
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City | SPRING
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State | TX
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Zip | 77389-1415
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Country | US
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Telephone | 832-212-2580
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. NILOFAR KARIM MOMIN
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Credential | D.D.S.
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Telephone | 832-212-2580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 26031
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License Number State | TX
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