Provider Demographics
NPI:1851350755
Name:HARIRI, ALI R (DDS)
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:R
Last Name:HARIRI
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 1:3241 W DUNLAP AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-3430
Mailing Address - Country:US
Mailing Address - Phone:602-995-3900
Mailing Address - Fax:602-995-3902
Practice Address - Street 1:3241 W DUNLAP AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-3430
Practice Address - Country:US
Practice Address - Phone:602-995-3900
Practice Address - Fax:602-995-3902
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6074122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist