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Organization
KEYVAN JALALI D.D.S., PLLC
Active
Organization
KEYVAN JALALI D.D.S., PLLC
Active
Other names
Premier Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIRKEYVAN JALALI D.D.S. (DENTIST)
(704) 906-8769
Entity
Organization
Contact information
Practice address
16640 HAWFIELD WAY DRIVE, SUITE 101, CHARLOTTE, NC 28277
(704) 554-8860
Mailing address
16640 HAWFIELD WAY DRIVE, SUITE 101, CHARLOTTE, NC 28277
(704) 554-8860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9299
NC
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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