Provider Demographics
NPI:1962451955
Name:ALALOUF, OPHIR ITZHAC (DDS)
Entity Type:Individual
Prefix:DR
First Name:OPHIR
Middle Name:ITZHAC
Last Name:ALALOUF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15200 SHADY GROVE RD
Mailing Address - Street 2:#450
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3218
Mailing Address - Country:US
Mailing Address - Phone:301-330-3222
Mailing Address - Fax:301-330-3113
Practice Address - Street 1:15200 SHADY GROVE RD
Practice Address - Street 2:#450
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3218
Practice Address - Country:US
Practice Address - Phone:301-330-3222
Practice Address - Fax:301-330-3113
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD121491223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry