Individual
DR. SANAH ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1200 W 4TH ST, TAHLEQUAH, OK 74464-5013
(918) 458-9100
Mailing address
1200 W 4TH ST, TAHLEQUAH, OK 74464-5013
(918) 458-9100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6770
OK
1223G0001X
General Practice Dentistry
28296
TX
Other
Enumeration date
09/05/2012
Last updated
07/09/2016
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