Provider Demographics
NPI:1689702250
Name:GHALI, AMIR F (DDS, FAGD)
Entity type:Individual
Prefix:DR
First Name:AMIR
Middle Name:F
Last Name:GHALI
Suffix:
Gender:M
Credentials:DDS, FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:948 W HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-1137
Mailing Address - Country:US
Mailing Address - Phone:610-432-0113
Mailing Address - Fax:610-432-9270
Practice Address - Street 1:948 W HAMILTON ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1137
Practice Address - Country:US
Practice Address - Phone:610-432-0113
Practice Address - Fax:610-432-9270
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020844L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist