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ANUM FATIMA ALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
200 W 15TH ST STE SUITE1A, NEW YORK, NY 10011-6658
(347) 609-7578
Mailing address
460 SPOTSWOOD GRAVEL HILL RD, MONROE TWP, NJ 08831-8679
(610) 908-2353

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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