Dr. Kevin Jalali PLLC
Clinic/Center, Dental in Charlotte, NC. Organization (NPI-2).
NPI number1467167262
StatusActive
Last updated in NPPESJan 17, 2023
Details
- NPI
- 1467167262
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Kevin Jalali PLLC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2023
- Certification date
- Jan 17, 2023
- Last updated
- Jan 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- East Blvd Dentistry (Doing Business As)
Practice location
1818 Lombardy CirCharlotte, NC 28203-6056
Phone 704-237-0507
Mailing address
1818 Lombardy CirCharlotte, NC 28203-6056
Phone 704-237-0507
Authorized official
Kevin Jalali
Owner
7042370507
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