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Organization
AJAY D. AMIN D.D.S. INC.
Active
Organization
AJAY D. AMIN D.D.S. INC.
Active
Other names
Lighthouse Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY DILIP AMIN DDS (PRESIDENT)
(619) 224-2204
Entity
Organization
Contact information
Practice address
3625 MIDWAY DR STE A, SAN DIEGO, CA 92110-5253
(619) 224-2204
Mailing address
11760 CARMEL CREEK RD APT 305, SAN DIEGO, CA 92130-6612
(951) 756-9019
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
01/23/2019
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