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NPI Code Detail

MEDICARE: ALI MADDAHI D.M.D.

MEDICARE:   ALI  MADDAHI  D.M.D.
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 DentistryDN20424MA

General Provider Information

NPI Number : 1942223243
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI MADDAHI D.M.D.
Provider Business Mailing Address
First Line : 10 ROLLING GREEN DR
Second Line :
City : AMHERST
State : MA
Zip : 01002-2723
Country : US
Telephone Number : 978-660-5711
Fax Number : 978-665-5808
Provider Business Practice Location Address
First Line : 10 ROLLING GREEN DR
Second Line :
City : AMHERST
State : MA
Zip : 01002-2723
Country : US
Telephone Number : 978-660-5711
Fax Number : 978-665-5808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 12/23/2013

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Directions to “ ALI MADDAHI D.M.D.” Practice Location

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