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Organization
TAWFIQ ALKILANI DDS PLLC
Active
Organization
TAWFIQ ALKILANI DDS PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BERTOLLINI (PRM)
(866) 273-8204
Entity
Organization
Contact information
Practice address
3375 S AIRPORT RD W, TRAVERSE CITY, MI 49684-7929
(231) 486-0555
(231) 929-3903
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21470
MI
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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