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Individual
DR. MOHAMED IKBAL ALI
Active
Individual
DR. MOHAMED IKBAL ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680477221
TAX IDENTIFICATION NUMBER
CA
Enumeration date
10/04/2006
Last updated
09/07/2022
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