Provider Demographics
NPI:1396498564
Name:SAMI A. ALI, DDS., INC
Entity type:Organization
Organization Name:SAMI A. ALI, DDS., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSED
Authorized Official - Phone:909-373-5900
Mailing Address - Street 1:10165 FOOTHILL BLVD STE 21
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-0342
Mailing Address - Country:US
Mailing Address - Phone:909-484-3000
Mailing Address - Fax:909-484-3006
Practice Address - Street 1:10165 FOOTHILL BLVD STE 21
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0342
Practice Address - Country:US
Practice Address - Phone:909-484-3000
Practice Address - Fax:909-484-3006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental