Individual
DR. BASSAM S ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
350 N CLARK ST, CHICAGO, IL 60654-4712
(312) 274-4524
Mailing address
2430 SALINA ST, DEARBORN, MI 48120-1549
(313) 615-1007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020984
MI
Other
Enumeration date
06/16/2013
Last updated
06/16/2013
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