| Mary Ali, D.d.s,inc | |
|
525 S Fairmont Ave Ste H Lodi CA 95240-3860 | |
| (209) 369-2696 | |
| Not Available |
| Full Name | Mary Ali, D.d.s,inc |
|---|---|
| Speciality | Dentist |
| Location | 525 S Fairmont Ave Ste H, Lodi, California |
| Authorized Official Name and Position | Mary Ali (OWNER) |
| Authorized Official Contact | 2093692696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ali, D.d.s,inc 525 S Fairmont Ave Ste H Lodi CA 95240-3860 Ph: (209) 369-2696 | Mary Ali, D.d.s,inc 525 S Fairmont Ave Ste H Lodi CA 95240-3860 Ph: (209) 369-2696 |
| NPI Number | 1588824726 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588824726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50201 (California) | Primary |
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