Individual
ALI AL AQEELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E NEWTON ST # G-706, BOSTON, MA 02118-2308
(617) 358-3446
Mailing address
7540 ORVALE RD UNIT 4300, PLANO, TX 75024-5853
(972) 975-2211
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
37926
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
11/24/2021
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