Individual
AMJAD ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4804 W CHERRYWOOD CT, MIDLAND, TX 79707-2601
(281) 785-5300
(281) 785-5300
Mailing address
350 N CLARK ST STE 600, CHICAGO, IL 60654-4782
(281) 785-5300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031485
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/20/2017
Last updated
01/19/2018
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