NPI Profile for ASIF A LALA in MERIDIAN, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) |
| NPI # | 1649425596 |
|
| Status | Active | |
| Credentials | DMD, MD | |
| Entity | Individual | |
| Enumeration date | 11/19/2008 | |
| Last updated | 05/01/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ASIF A LALA
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| MERIDIAN PEDIATRIC DENTAL GROUP, LLC 1922 23RD AVE MERIDIAN, MS |
| DAVID M GILMORE, DMD 3512 HWY 39N MERIDIAN, MS |
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