Organization
DAVINCI DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALDOUN AJLOUNI DDS (PRESIDENT OWNER)
(817) 251-9333
Entity
Organization
Contact information
Practice address
100 W SOUTHLAKE BLVD, SUITE 146, SOUTHLAKE, TX 76092-6104
(817) 251-9333
(817) 251-9320
Mailing address
100 W SOUTHLAKE BLVD, SUITE 146, SOUTHLAKE, TX 76092-6104
(817) 251-9333
(817) 251-9320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22403
TX
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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