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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