Individual
REIAZ BEN ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
7900 OLD BRANCH AVE, SUITE 209, CLINTON, MD 20735
(301) 856-1200
(301) 868-1947
Mailing address
7900 OLD BRANCH AVE, SUITE 209, CLINTON, MD 20735
(301) 856-1200
(301) 868-1947
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11360
MD
Other
Enumeration date
03/03/2009
Last updated
05/25/2021
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