Individual
SUE S ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7761 N INGRAM AVE STE 101, FRESNO, CA 93711-6282
(559) 431-9701
(559) 431-9121
Mailing address
7761 N INGRAM AVE STE 101, FRESNO, CA 93711-6282
(559) 431-9701
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA91983
CA
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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