Individual
ANUM FATIMA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061248
NY
122300000X
Dentist
22DI02809700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2019
Last updated
11/23/2020
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