Individual
DR. ALI SADEGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5692
Mailing address
142 LYMAN PL, ENGLEWOOD, NJ 07631-3609
(201) 408-4763
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
053478
NY
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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