Individual
ALI ADIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4350 FAIRFAX DR STE 640, ARLINGTON, VA 22203-1626
(703) 940-3070
Mailing address
7699 PALMILLA DR APT 3314, SAN DIEGO, CA 92122-5097
(925) 577-8552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
106739
CA
1223E0200X
Endodontics
Primary
0401418894
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/06/2020
Last updated
08/21/2024
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