Shahzad Ghajar, Ali

Shahzad Ghajar, Ali is an sole proprietor health care provider with primary practice located at 1361 E 4Th St , Ontario CA 91764-3035. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shahzad Ghajar, Ali can be contacted via phone (909) 933-3531.

Contact Information

Primary practice address
1361 E 4Th St Ontario CA 91764-3035
Phone: (909) 933-3531
Fax: (909) 933-3533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 42417 California

Profile Details

NPI number 1467504944
LBN Legal business name Shahzad Ghajar, Ali
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jun 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467504944 NPPES
California Other B42417-01 MEDI-CAL NUMBER

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