Individual
ALI TAHSEEN JASIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
853 PLUMAS ST, YUBA CITY, CA 95991-4010
(530) 763-5595
Mailing address
10270 E TARON DR APT 230, ELK GROVE, CA 95757-8243
(619) 201-5390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105839
CA
Other
Enumeration date
12/01/2020
Last updated
12/04/2020
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