Individual
DR. ALI SHAHZAD GHAJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1361 E 4TH ST, ONTARIO, CA 91764-3035
(909) 933-3531
(909) 933-3533
Mailing address
1361 E 4TH ST, ONTARIO, CA 91764-3035
(909) 933-3531
(909) 933-3533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B42417-01
MEDI-CAL NUMBER
CA
Enumeration date
01/17/2007
Last updated
06/11/2008
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