Individual
DR. ALI MOTANABBEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9331 MISSION GORGE RD STE 105, SANTEE, CA 92071-3883
(619) 448-2158
(619) 448-2165
Mailing address
1124 FESTIVAL RD, SAN MARCOS, CA 92078-2806
(760) 809-9392
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
102204
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2017
Last updated
03/17/2018
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