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NPI Code Detail

MEDICARE: ALI MAHIN ARASTU DMD

MEDICARE: ALI MAHIN ARASTU DMD
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 Dentistry27410TX
21223P0300XPeriodonticsDS040146PA

General Provider Information

NPI Number : 1477828721
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI MAHIN ARASTU DMD
Provider Business Mailing Address
First Line : 1420 LOCUST ST
Second Line : APT 30P
City : PHILADELPHIA
State : PA
Zip : 19102-4223
Country : US
Telephone Number : 210-557-9771
Fax Number : 215-646-6166
Provider Business Practice Location Address
First Line : 401 COMMERCE DR
Second Line : SUITE 108
City : FT WASHINGTON
State : PA
Zip : 19034-2714
Country : US
Telephone Number : 215-550-7186
Fax Number : 215-646-6166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2012
Last Update Date : 09/05/2014

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Directions to “ ALI MAHIN ARASTU DMD” Practice Location

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