Organization
AMROLLAHIE DMD INC
Active
Parent organization
AMROLLAHIE DMD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMROLLAHIE DMD INC
Authorized official
DR. ALI AMROLLAHIE (PRESIDENT)
(949) 510-7795
Entity
Organization
Contact information
Practice address
105 DURIAN ST STE C, VISTA, CA 92083-6240
(760) 733-8080
(760) 276-7888
Mailing address
105 DURIAN ST STE C, VISTA, CA 92083-6240
(760) 733-8080
(760) 276-7888
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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