# AMROLLAHIE DMD INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMROLLAHIE DMD INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104660687
- **Legal business name:** AMROLLAHIE DMD INC
- **Authorized official:** DR. ALI AMROLLAHIE (PRESIDENT)
- **Authorized official phone:** (949) 510-7795

## Contact information

- **Practice address:** 105 DURIAN ST STE C, VISTA, CA 92083-6240
- **Practice address phone:** (760) 733-8080
- **Practice address fax:** (760) 276-7888
- **Mailing address:** 105 DURIAN ST STE C, VISTA, CA 92083-6240
- **Mailing address phone:** (760) 733-8080
- **Mailing address fax:** (760) 276-7888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2024
- **Last updated:** 06/20/2024