# ALI EHSAN DDS INC.

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

## Provider details

- **NPI number:** 1073875217
- **Authorized official:** DR. ALI EHSAN DDS (OWNER)
- **Authorized official phone:** (714) 998-5502

## Contact information

- **Practice address:** 1714 N TUSTIN ST, ORANGE, CA 92865-4603
- **Practice address phone:** (714) 998-5502
- **Practice address fax:** (714) 998-5503
- **Mailing address:** 1714 N TUSTIN ST, ORANGE, CA 92865-4603
- **Mailing address phone:** (714) 998-5502
- **Mailing address fax:** (714) 998-5503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 52380 | CA | Yes |

## Other

- **Enumeration date:** 06/13/2012
- **Last updated:** 06/13/2012
