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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