Healthcare Provider Details

I. General information

NPI: 1962341016
Provider Name (Legal Business Name): AHMED ALAN HARAJLI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: AHMED ALAN HARAJLI DDS

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21120 ALLEN RD STE 2
WOODHAVEN MI
48183-1694
US

IV. Provider business mailing address

21120 ALLEN RD STE 2
WOODHAVEN MI
48183-1694
US

V. Phone/Fax

Practice location:
  • Phone: 313-550-4515
  • Fax:
Mailing address:
  • Phone: 734-675-7124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901602971
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: