# ALI AMIRI DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063872976
- **Authorized official:** DR. ALIREZA AMIRI DDS (PRESIDENT)
- **Authorized official phone:** (760) 724-9117

## Contact information

- **Practice address:** 620 S MELROSE DR STE 200, VISTA, CA 92081-6644
- **Practice address phone:** (760) 724-9117
- **Mailing address:** 620 S MELROSE DR STE 200, VISTA, CA 92081-6644
- **Mailing address phone:** (760) 724-9117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2016
- **Last updated:** 03/04/2016