Provider Demographics
NPI:1861214033
Name:SAMI A ALI DDS INC
Entity type:Organization
Organization Name:SAMI A ALI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSED
Authorized Official - Phone:951-398-7900
Mailing Address - Street 1:18590 VAN BUREN BLVD STE 2B
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508-4804
Mailing Address - Country:US
Mailing Address - Phone:951-398-7900
Mailing Address - Fax:951-398-7903
Practice Address - Street 1:18590 VAN BUREN BLVD STE 2B
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92508-4804
Practice Address - Country:US
Practice Address - Phone:951-398-7900
Practice Address - Fax:951-398-7903
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAMI A ALI DDS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty