Provider Demographics
NPI:1356879381
Name:AJLUNI, REEMA (DDS)
Entity type:Individual
Prefix:DR
First Name:REEMA
Middle Name:
Last Name:AJLUNI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6310 BRANFORD DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-1097
Mailing Address - Country:US
Mailing Address - Phone:248-739-8002
Mailing Address - Fax:
Practice Address - Street 1:28411 NORTHWESTERN HWY STE 225
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-5508
Practice Address - Country:US
Practice Address - Phone:248-894-0605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-04
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010222681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice