Provider Demographics
NPI:1497890230
Name:LALJI DENTAL, P.C.
Entity Type:Organization
Organization Name:LALJI DENTAL, P.C.
Other - Org Name:ROYAL DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AYEEZ
Authorized Official - Middle Name:A
Authorized Official - Last Name:LALJI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-877-0697
Mailing Address - Street 1:4635 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 700
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7169
Mailing Address - Country:US
Mailing Address - Phone:713-877-0697
Mailing Address - Fax:713-623-8380
Practice Address - Street 1:226 FLUOR DANIEL DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4073
Practice Address - Country:US
Practice Address - Phone:281-242-2040
Practice Address - Fax:281-242-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2007-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX169171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1208944-02Medicaid
TX1208944-05Medicaid