Khaldoun F Al-Ajlouni, DDS PA

NPI #1033373113 in Southlake, Texas

Provider Information

NPI Number: 1033373113
Entity Type: Individual
Name: Khaldoun F Al-Ajlouni, DDS PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS PA
Enumeration Date: Jul 17, 2008
Last Updated: May 22, 2019

Practice Location

Address: 100 W SOUTHLAKE BLVD
Address 2: STE 146
City: Southlake
State: Texas
ZIP Code: 76092-6100
Phone: (817) 251-9333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X

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