Ghayda Ali
Dentist in Burr Ridge, IL. Individual provider (NPI-1).
NPI number1902655152
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1902655152
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ghayda Ali
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2024
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019.035093 | IL | Yes |
Practice location
9011 Skyline DrBurr Ridge, IL 60527-6252
Phone 708-336-0174
Mailing address
9011 Skyline DrBurr Ridge, IL 60527-6252
Phone 708-336-0174
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All 12 Dentist providers in Burr Ridge · All 768 providers in Burr Ridge
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