Individual
DR. ALI NOORI DAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5665 HIGHWAY 95 N, LAKE HAVASU CITY, AZ 86404-9646
(323) 980-6661
Mailing address
11666 N 28TH DR UNIT 139, PHOENIX, AZ 85029-5618
(323) 980-6661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39366
TX
Other
Enumeration date
07/05/2022
Last updated
05/23/2023
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