Individual
DR. ALI FADEL MAHDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
29525 CANWOOD ST STE 301, AGOURA HILLS, CA 91301-4232
(818) 706-0975
Mailing address
1706 N WASHINGTON AVE, DURANT, OK 74701-2118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102341
CA
1223G0001X
General Practice Dentistry
6825
OK
Other
Enumeration date
06/17/2016
Last updated
07/18/2022
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