| Davinci Dentistry | |
|
100 W Southlake Blvd Suite 146 Southlake TX 76092-6104 | |
| (817) 251-9333 | |
| (817) 251-9320 |
| Full Name | Davinci Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 100 W Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Khaldoun Ajlouni (PRESIDENT OWNER) |
| Authorized Official Contact | 8172519333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davinci Dentistry 100 W Southlake Blvd Suite 146 Southlake TX 76092-6104 Ph: (817) 251-9333 | Davinci Dentistry 100 W Southlake Blvd Suite 146 Southlake TX 76092-6104 Ph: (817) 251-9333 |
| NPI Number | 1033242946 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033242946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22403 (Texas) | Primary |
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