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Individual

AMAL ALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
13948 LEE JACKSON MEMORIAL HWY, CHANTILLY, VA 20151-3202
(703) 742-8602
Mailing address
13948 LEE JACKSON MEMORIAL HWY, CHANTILLY, VA 20151-3202
(703) 742-8602

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008860
VA

Other

Enumeration date
06/04/2007
Last updated
07/08/2007
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