Individual
DR. MAHDI ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MPH
Contact information
Practice address
3830 W PINNACLE PEAK RD, SUITE 103, GLENDALE, AZ 85310-4006
(623) 587-0300
(866) 316-7796
Mailing address
PO BOX 2924, SCOTTSDALE, AZ 85252-2924
(480) 208-7436
(866) 316-7796
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019026327
IL
122300000X
Dentist
Primary
D7481
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9180012
—
IL
Enumeration date
03/14/2007
Last updated
03/08/2011
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