Provider Demographics
NPI:1508679549
Name:KHALIL ABDUL ABDALLAH PLLC
Entity type:Organization
Organization Name:KHALIL ABDUL ABDALLAH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KHALIL
Authorized Official - Middle Name:ABDUL
Authorized Official - Last Name:ABDALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:313-354-4419
Mailing Address - Street 1:37020 GARFIELD RD STE T-4
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-3645
Mailing Address - Country:US
Mailing Address - Phone:586-263-4060
Mailing Address - Fax:
Practice Address - Street 1:37020 GARFIELD RD STE T-4
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-3645
Practice Address - Country:US
Practice Address - Phone:586-263-4060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty