Provider Demographics
NPI:1861674475
Name:ALKALAF, ALIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALIA
Middle Name:
Last Name:ALKALAF
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6165 SOM CENTER ROAD
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139
Mailing Address - Country:US
Mailing Address - Phone:440-498-8200
Mailing Address - Fax:440-498-8201
Practice Address - Street 1:6165 SOM CENTER RD
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2930
Practice Address - Country:US
Practice Address - Phone:440-498-8200
Practice Address - Fax:440-498-8201
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21430122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist