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Organization
MOHAMED IKBAL ALI
Active
Organization
MOHAMED IKBAL ALI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICAR FRANCO (OFFICE MANAGER)
(415) 391-7751
Entity
Organization
Contact information
Practice address
450 SUTTER ST RM 1905, SAN FRANCISCO, CA 94108-4103
(415) 391-7751
(415) 391-7357
Mailing address
450 SUTTER ST RM 1905, SAN FRANCISCO, CA 94108-4103
(415) 391-7751
(415) 391-7357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40054
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
10/18/2017
Last updated
10/18/2017
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