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Organization
1ST CLASS DENTISTRY AND ORTHODONTICS PA
Active
Organization
1ST CLASS DENTISTRY AND ORTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAED AJLOUNI (PRESIDENT)
(817) 251-9333
Entity
Organization
Contact information
Practice address
5437 E GRAND AVE, DALLAS, TX 75223-1914
(214) 821-4726
Mailing address
5437 E GRAND AVE, DALLAS, TX 75223-1914
(214) 821-4726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21791
TX
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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