Individual
KHAWLA ALJOHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
750 E WASHINGTON ST STE B2, MEDINA, OH 44256-2137
(330) 725-6151
Mailing address
750 E WASHINGTON ST STE B2, MEDINA, OH 44256-2137
(330) 725-6151
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30.026369
OH
390200000X
Student in an Organized Health Care Education/Training Program
RES.3771
OH
Other
Enumeration date
08/30/2016
Last updated
06/06/2022
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