Individual
DR. LIOR ALJADEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.D.
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-7878
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901021581
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D-0007036-C
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
32373
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
42397
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
U5913
TX
Other
Enumeration date
06/05/2015
Last updated
06/24/2024
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