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1134568868
BASSAM S ALI
CHICAGO, IL
NPI
1134568868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901020984)
Enumeration Date
2013-06-16
Last Update Date
2013-06-16
Business Address
Dr. BASSAM S ALI DDS
350 N CLARK ST
CHICAGO, IL 60654-4712
Phone number: 312-274-4524
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Mailing Address
Dr. BASSAM S ALI DDS
2430 SALINA ST
DEARBORN, MI 48120-1549
Phone number: 313-615-1007
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