Organization
DR ALI SOULATI DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI SOULATI DDS (DENTIST/OWNER)
(410) 819-0060
Entity
Organization
Contact information
Practice address
508 CYNWOOD DR STE A, EASTON, MD 21601-3892
(410) 819-0060
(410) 819-0031
Mailing address
508 CYNWOOD DR STE A, EASTON, MD 21601-3892
(410) 819-0060
(410) 819-0031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13057
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306822796
IND NPI
MD
Enumeration date
03/27/2008
Last updated
03/27/2008
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