Provider Demographics
NPI:1598375131
Name:AMIR ASLANI, AMIR ALI (DMD)
Entity Type:Individual
Prefix:DR
First Name:AMIR ALI
Middle Name:
Last Name:AMIR ASLANI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 MALDEN ST APT 211
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2889
Mailing Address - Country:US
Mailing Address - Phone:510-862-9394
Mailing Address - Fax:
Practice Address - Street 1:155 VETERANS RD
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:MA
Practice Address - Zip Code:02152-1631
Practice Address - Country:US
Practice Address - Phone:617-221-8126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1858767122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist