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Individual

DR. MOHAMAD AJAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
12612 CAPITAL BLVD STE 100, WAKE FOREST, NC 27587-7489
(919) 435-3313
Mailing address
12612 CAPITAL BLVD STE 100, WAKE FOREST, NC 27587-7489
(919) 435-3313

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401418004
VA
1223G0001X
General Practice Dentistry
Primary
13152
NC

Other

Enumeration date
07/10/2022
Last updated
09/27/2023
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