Individual
AJAY D AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
1223G0001X
General Practice Dentistry
Primary
100064
CA
1223G0001X
General Practice Dentistry
DE 60666476
WA
Other
Enumeration date
06/10/2015
Last updated
01/23/2019
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