# GRAND DENTAL PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184933400
- **Authorized official:** DR. RAED AJLOUNI DDS (PRESIDENT)
- **Authorized official phone:** (214) 995-0806

## Contact information

- **Practice address:** 5437 E GRAND AVE, DALLAS, TX 75223-1914
- **Practice address phone:** (214) 821-4726
- **Mailing address:** 850 DALMALLEY LN, COPPELL, TX 75019-7931
- **Mailing address phone:** (214) 821-4726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2010
- **Last updated:** 10/05/2010