Organization
ALIVIRI DENTAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI ALVIRI DDS (DENTIST/OWNER)
(626) 367-6740
Entity
Organization
Contact information
Practice address
1295 S LA BREA AVE STE 101, INGLEWOOD, CA 90301-0972
(310) 672-0129
Mailing address
1295 S LA BREA AVE STE 101, INGLEWOOD, CA 90301-0972
(310) 672-0129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DDS39126
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
08/08/2018
Last updated
08/08/2018
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