Individual
ASIF A LALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
1212 24TH AVE, MERIDIAN, MS 39301-3926
(601) 485-2494
(601) 485-4837
Mailing address
1212 24TH AVE, MERIDIAN, MS 39301-3926
(601) 485-2494
(601) 485-4837
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3785-15
MS
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN014405
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS036967
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
23598
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05034060
—
MS
Enumeration date
11/19/2008
Last updated
05/01/2024
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