MEDICARE: DR. REEMA AJLUNI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2901022268	MI

General Provider Information

NPI Number	:	1356879381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REEMA AJLUNI DDS

Provider Business Mailing Address
First Line	:	6310 BRANFORD DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-1097
Country	:	US
Telephone Number	:	248-739-8002
Fax Number	:

Provider Business Practice Location Address
First Line	:	28411 NORTHWESTERN HWY STE 225
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48034-5508
Country	:	US
Telephone Number	:	248-894-0605
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2017
Last Update Date	:	11/20/2024

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