Imran Ali Alidina
Dentist, General Practice in Georgetown, TX. Individual provider (NPI-1).
NPI number1184473845
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1184473845
- Entity type
- Individual (NPI-1)
- Name
- Imran Ali Alidina
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2024
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 40593 | TX | Yes |
Practice location
904 W University AveGeorgetown, TX 78626-6511
Phone 512-876-2060
Mailing address
127 Giotto CresMaple, ON L6A3N7
Canada
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