Provider Demographics
NPI:1215535539
Name:AJLUNI DENTAL CARE
Entity Type:Organization
Organization Name:AJLUNI DENTAL CARE
Other - Org Name:TAYLOR MADE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:REMY
Authorized Official - Middle Name:
Authorized Official - Last Name:AJLUNI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:313-928-2150
Mailing Address - Street 1:20555 ECORSE RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-1992
Mailing Address - Country:US
Mailing Address - Phone:313-928-2150
Mailing Address - Fax:
Practice Address - Street 1:20555 ECORSE RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-1992
Practice Address - Country:US
Practice Address - Phone:313-928-2150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-09
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental