Individual
DR. AMJAD ALDALLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3900 CROSBY DR APT 2212, LEXINGTON, KY 40515-1808
(708) 369-3356
Mailing address
3900 CROSBY DR APT 2212, LEXINGTON, KY 40515-1808
(708) 369-3356
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8564
MA
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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