IndividualActive
Ali Dawlatly, MD, DDS
NPI 1679918288 · Oral & Maxillofacial Surgery (D.M.D.) · La Jolla, CA
Provider details
- NPI number
- 1679918288
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- MD, DDS
- Sex
- Male
- Sole proprietor
- No
- License
- S9868 (TX)
Mailing address
9888 Genesee Ave
La Jolla, CA 92037-1205
Registry dates
- Enumerated
- 2013-05-09
- Last updated
- 2023-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.