Asif A Lala, DMD, MD
Oral & Maxillofacial Surgery in Meridian, MS. Individual provider (NPI-1).
NPI number1649425596
StatusActive
Last updated in NPPESMay 1, 2024
Details
- NPI
- 1649425596
- Entity type
- Individual (NPI-1)
- Name
- Asif A Lala
- Credential
- DMD, MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2008
- Certification date
- May 1, 2024
- Last updated
- May 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery | 23598 | MS | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | DN014405 | GA | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | DS036967 | PA | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 3785-15 | MS |
Practice location
1212 24th AveMeridian, MS 39301-3926
Phone 601-485-2494 · Fax 601-485-4837
Mailing address
1212 24th AveMeridian, MS 39301-3926
Phone 601-485-2494 · Fax 601-485-4837
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