Organization
ALI SHOJANIA DDS INC
Active
Other names
Extreme Smile Makeover
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI SHOJANIA DDS (OWNER)
(858) 922-3762
Entity
Organization
Contact information
Practice address
5927 BALBOA AVE, SAN DIEGO, CA 92111-2711
(858) 922-3762
(858) 225-0410
Mailing address
5927 BALBOA AVE, SAN DIEGO, CA 92111-2711
(858) 922-3762
(858) 225-0410
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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