Organization
ALI ISMAIL DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI ISMAIL DDS (SOLE MEMBER)
(248) 520-0456
Entity
Organization
Contact information
Practice address
8701 N SHELDON RD, CANTON, MI 48187-1970
(734) 451-1188
Mailing address
41920 WOLFE PASS, NOVI, MI 48377-2867
(248) 520-0456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023421963
DENTIST
MI
01
—
1154747095
DENTIST
MI
Enumeration date
03/23/2019
Last updated
03/23/2019
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