Individual
AMIR FARAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
8950 VILLA LA JOLLA DR STE B120, LA JOLLA, CA 92037-1705
(858) 455-9614
Mailing address
8950 VILLA LA JOLLA DR STE B120, LA JOLLA, CA 92037-1705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
111454
CA
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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