Organization
AMROLLAHIE DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI AMROLLAHIE DMD (PRESIDENT)
(949) 510-7795
Entity
Organization
Contact information
Practice address
1442 IRVINE BLVD STE 225, TUSTIN, CA 92780-3846
(714) 544-6345
(714) 544-1008
Mailing address
1442 IRVINE BLVD STE 225, TUSTIN, CA 92780-3846
(714) 544-6345
(714) 544-1008
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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