Provider Demographics
NPI:1184938102
Name:M ATLI DDS INC
Entity type:Organization
Organization Name:M ATLI DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MURAT
Authorized Official - Middle Name:DENTAL
Authorized Official - Last Name:ATLI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-916-9600
Mailing Address - Street 1:24002 VIA FABRICANTE STE 301
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-3932
Mailing Address - Country:US
Mailing Address - Phone:949-351-4331
Mailing Address - Fax:949-716-9899
Practice Address - Street 1:24002 VIA FABRICANTE STE 301
Practice Address - Street 2:
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:949-716-9899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-02
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
122300000X
CA55368261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No122300000XDental ProvidersDentistGroup - Multi-Specialty