Individual
TAREQ AL-ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2222 E CARY ST APT 214, RICHMOND, VA 23223-7085
(804) 564-1561
Mailing address
2222 E CARY ST APT 214, RICHMOND, VA 23223-7085
(804) 564-1561
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0442000110
VA
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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