Provider Demographics
NPI:1952752388
Name:MAJDALANI, CHARLES CHAFIC (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:CHAFIC
Last Name:MAJDALANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30745 US HIGHWAY 281 N # 103
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-3291
Mailing Address - Country:US
Mailing Address - Phone:210-251-1589
Mailing Address - Fax:
Practice Address - Street 1:30745 US HIGHWAY 281 N STE 103
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-3291
Practice Address - Country:US
Practice Address - Phone:210-251-1589
Practice Address - Fax:210-251-1589
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX318991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
1223G0001XOtherN/A