Bano Qutub Ali, DMD Valid NPI
Individual provider · Dentist · Vallejo, CA
- NPI
- 1871130989
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 104200 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2019-12-08
- Last updated
- 2019-12-08
Practice location
41 Admiral Callaghan Ln
Vallejo, CA 94591-4000
(713) 922-1063