| Ali Jazayeri Dds Inc | |
|
106 S Ola Vista San Clemente CA 92672-4037 | |
| (949) 481-2540 | |
| (949) 481-2544 |
| Full Name | Ali Jazayeri Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 106 S Ola Vista, San Clemente, California |
| Authorized Official Name and Position | Ali John Jazayeri (DENTIST/PRESIDENT) |
| Authorized Official Contact | 9494812540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Jazayeri Dds Inc 106 S Ola Vista San Clemente CA 92672-4037 Ph: (949) 481-2540 | Ali Jazayeri Dds Inc 106 S Ola Vista San Clemente CA 92672-4037 Ph: (949) 481-2540 |
| NPI Number | 1972086551 |
|---|---|
| Provider Enumeration Date | 09/10/2018 |
| Last Update Date | 09/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972086551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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