MEDICARE: REEMA AJLUNI DDS PLLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1952040818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REEMA AJLUNI DDS PLLC

Provider Business Mailing Address
First Line	:	28411 NORTHWESTERN HWY STE 225
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48034-5508
Country	:	US
Telephone Number	:	248-827-1900
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	:	248-827-1900
Fax Number	:

Authorized Official
Title or Position	:	GENERAL DENTIST
Name	:	DR. REEMA AJLUNI
Credential	:	DDS
Telephone Number	:	248-894-0605

Provider Enumeration Date	:	05/31/2022
Last Update Date	:	05/31/2022

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