Individual
DR. ALI JOHN JAZAYERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2700 S BRISTOL ST, SANTA ANA, CA 92704-6202
(949) 294-3838
Mailing address
2700 S BRISTOL ST, SANTA ANA, CA 92704-6202
(949) 294-3838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
053328
NY
1223G0001X
General Practice Dentistry
Primary
64198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02838737
—
NY
05
—
03059698
—
NY
Enumeration date
04/16/2007
Last updated
05/13/2016
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