Individual
ALI AHAMED SHAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1805 MICCOSUKEE COMMONS DR, TALLAHASSEE, FL 32308-5433
(850) 222-3858
Mailing address
1805 MICCOSUKEE COMMONS DR, TALLAHASSEE, FL 32308-5433
(850) 222-3858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20962
FL
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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