1st Class Dentistry And Orthodontics PA
Dentist, General Practice in Dallas, TX. Organization (NPI-2).
NPI number1215209929
StatusActive
Last updated in NPPESJan 27, 2012
Details
- NPI
- 1215209929
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Class Dentistry And Orthodontics PA
- Organization subpart
- No
- Enumeration date
- Jan 27, 2012
- Last updated
- Jan 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 21791 | TX | Yes |
Practice location
5437 E Grand AveDallas, TX 75223-1914
Phone 214-821-4726
Mailing address
5437 E Grand AveDallas, TX 75223-1914
Phone 214-821-4726
Authorized official
Raed Ajlouni
President
8172519333
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