Provider Demographics
NPI:1104080837
Name:ALI TORABI DDS PLLC
Entity type:Organization
Organization Name:ALI TORABI DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:TORABI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-341-4403
Mailing Address - Street 1:1502 W BLUE STARR DR
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-3202
Mailing Address - Country:US
Mailing Address - Phone:918-341-4403
Mailing Address - Fax:918-341-4001
Practice Address - Street 1:1502 W BLUE STARR DR
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-3202
Practice Address - Country:US
Practice Address - Phone:918-341-4403
Practice Address - Fax:918-341-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK60441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty