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Organization

GHALI GHALI, DDS PROFESSINAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GE GHALI DDS,MD,FACS,FRCS (OWNER/ DDS)
(504) 641-4888
Entity
Organization

Contact information

Practice address
2409 SPORTSMAN DR, PHENIX CITY, AL 36867-5402
(504) 641-4888
Mailing address
6513 PERKINS RD, BATON ROUGE, LA 70808-4259
(504) 641-4888

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4998
LA

Other

Enumeration date
11/09/2016
Last updated
11/09/2016
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