Individual
ALI HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7748 CHARLOTTE HWY, INDIAN LAND, SC 29707-9654
(803) 746-4033
Mailing address
380 GINSBERG RD, ROCK HILL, SC 29732-3628
(832) 462-9395
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11067
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
05/12/2025
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