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Organization

ALI HAERI D M D M H S A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALI HAERI DDS (PRESIDENT)
(619) 579-0505
Entity
Organization

Contact information

Practice address
1297 W MAIN ST STE A, EL CAJON, CA 92020-4135
(619) 579-0505
Mailing address
1297 W MAIN ST STE A, EL CAJON, CA 92020-4135
(619) 579-0505

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
04/19/2018
Last updated
04/19/2018
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