Individual
DR. ALI AMROLLAHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
105 DURIAN ST STE C, VISTA, CA 92083-6240
(949) 510-7795
Mailing address
105 DURIAN ST STE C, VISTA, CA 92083-6240
(949) 510-7795
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
64388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
CA
Enumeration date
06/04/2013
Last updated
06/14/2022
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