Individual
DR. ALI SHAMBAYATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2800 8TH AVE, FORT WORTH, TX 76110-3042
(817) 904-9162
Mailing address
4200 TIDWORTH DR, PLANO, TX 75093-3126
(469) 733-5422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41534
TX
Other
Enumeration date
05/01/2025
Last updated
07/02/2025
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