Provider Demographics
NPI:1023280070
Name:AMIR GHALI, D.D.S.,F.A.G.D.,PC
Entity type:Organization
Organization Name:AMIR GHALI, D.D.S.,F.A.G.D.,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRGIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-432-0113
Mailing Address - Street 1:948 W HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-1278
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:18101-1278
Practice Address - Country:US
Practice Address - Phone:610-432-0113
Practice Address - Fax:610-432-9270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020844L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty