| NPI | 1720275217 |
|---|---|
| Former Name | ALI M KHOSROVANI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 56085) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 56085) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2021-12-06 |