Provider Demographics
NPI:1225170202
Name:ATLI, MURAT (DDS)
Entity Type:Individual
Prefix:
First Name:MURAT
Middle Name:
Last Name:ATLI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22852 CASEDA
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-1721
Mailing Address - Country:US
Mailing Address - Phone:949-351-4331
Mailing Address - Fax:
Practice Address - Street 1:24002 VIA FABRICANTE
Practice Address - Street 2:STE 301
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-3932
Practice Address - Country:US
Practice Address - Phone:949-351-4331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA553681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice