Individual
DR. ALI R KHAFSAFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1076 EAGLETON CENTER UNIT C, LONDON, OH 43140
(740) 852-7741
(740) 852-7783
Mailing address
1076 EAGLETON CENTER UNIT C, LONDON, OH 43140
(740) 852-7741
(740) 852-7783
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21821
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2417772
—
OH
Enumeration date
09/27/2006
Last updated
07/08/2007
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