Provider Demographics
NPI:1932528049
Name:NILOFAR K. ALI, D.D.S., P.A.
Entity Type:Organization
Organization Name:NILOFAR K. ALI, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NILOFAR
Authorized Official - Middle Name:KARIM
Authorized Official - Last Name:MOMIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-212-2580
Mailing Address - Street 1:6834 PRESTON GROVE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1415
Mailing Address - Country:US
Mailing Address - Phone:832-212-2580
Mailing Address - Fax:
Practice Address - Street 1:2030 GESSNER RD STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-6342
Practice Address - Country:US
Practice Address - Phone:713-984-1115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-16
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26031122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty