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Individual

DR. HUMZA I ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1774
Mailing address
5047 CHERRY BLOSSOM CIR, WEST BLOOMFIELD, MI 48324-4009
(734) 716-8883

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901602222
MI

Other

Enumeration date
05/29/2024
Last updated
06/13/2024
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