Organization
ALI JAZAYERI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI JOHN JAZAYERI DDS (DENTIST/PRESIDENT)
(949) 481-2540
Entity
Organization
Contact information
Practice address
106 S OLA VISTA, SAN CLEMENTE, CA 92672-4037
(949) 481-2540
(949) 481-2544
Mailing address
106 S OLA VISTA, SAN CLEMENTE, CA 92672-4037
(949) 481-2540
(949) 481-2544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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