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Organization
HEJAZI DENTAL CORPORATION
Active
Organization
HEJAZI DENTAL CORPORATION
Active
Other names
College Grove Dentistry Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI HEJAZI DMD (DDS/OWNER)
(619) 363-3881
Entity
Organization
Contact information
Practice address
3408 COLLEGE AVE, SAN DIEGO, CA 92115-7134
(619) 363-3881
(619) 752-1616
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
05/11/2022
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