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Individual

ALI MUALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20401 STILLHOUSE BRANCH PL, STERLING, VA 20165-5154
(510) 240-2365
Mailing address
874 STREY LN APT 565, HOUSTON, TX 77024-4319
(510) 240-2365

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31156
TX

Other

Enumeration date
07/21/2015
Last updated
07/09/2021
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