Organization
BOU MJAHED,DDS,PLLC
Active
Other names
District Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALIL MJAHED DDS (OWNER/DENTIST)
(704) 277-6718
Entity
Organization
Contact information
Practice address
328 W CARSON BLVD STE 100, CHARLOTTE, NC 28203-4024
(704) 277-6718
Mailing address
328 W CARSON BLVD STE 100, CHARLOTTE, NC 28203-4024
(704) 277-6718
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9511
NC
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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