# AMROLLAHIE DMD INC

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

## Provider details

- **NPI number:** 1699518381
- **Authorized official:** ALI AMROLLAHIE DMD (PRESIDENT)
- **Authorized official phone:** (949) 510-7795

## Contact information

- **Practice address:** 1442 IRVINE BLVD STE 225, TUSTIN, CA 92780-3846
- **Practice address phone:** (714) 544-6345
- **Practice address fax:** (714) 544-1008
- **Mailing address:** 1442 IRVINE BLVD STE 225, TUSTIN, CA 92780-3846
- **Mailing address phone:** (714) 544-6345
- **Mailing address fax:** (714) 544-1008

## 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:** 06/18/2024
- **Last updated:** 06/18/2024