Individual
LUJAYN ELKAIALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 OLD ALABAMA RD, ALPHARETTA, GA 30022-5526
(770) 826-1431
Mailing address
3455 OLD ALABAMA RD, ALPHARETTA, GA 30022-5526
(770) 826-1431
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DNES000432.
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2014
Last updated
03/02/2017
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