| Ghali Ghali, Dds Professinal Llc | |
|
2409 Sportsman Dr Phenix City AL 36867-5402 | |
| (504) 641-4888 | |
| Not Available |
| Full Name | Ghali Ghali, Dds Professinal Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2409 Sportsman Dr, Phenix City, Alabama |
| Authorized Official Name and Position | Ge Ghali (OWNER/ DDS) |
| Authorized Official Contact | 5046414888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghali Ghali, Dds Professinal Llc 6513 Perkins Rd Baton Rouge LA 70808-4259 Ph: (504) 641-4888 | Ghali Ghali, Dds Professinal Llc 2409 Sportsman Dr Phenix City AL 36867-5402 Ph: (504) 641-4888 |
| NPI Number | 1265974133 |
|---|---|
| Provider Enumeration Date | 11/09/2016 |
| Last Update Date | 11/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265974133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4998 (Louisiana) | Primary |
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