| Oral Maxillofacial Surgery Of Southern California | |
|
1442 Irvine Blvd Ste 225 Tustin CA 92780-3846 | |
| (714) 544-6345 | |
| Not Available |
| Full Name | Oral Maxillofacial Surgery Of Southern California |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1442 Irvine Blvd Ste 225, Tustin, California |
| Authorized Official Name and Position | Ali Amrollahie (GENERAL PARTNER) |
| Authorized Official Contact | 9495107795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Maxillofacial Surgery Of Southern California 1442 Irvine Blvd Ste 225 Tustin CA 92780-3846 Ph: () - | Oral Maxillofacial Surgery Of Southern California 1442 Irvine Blvd Ste 225 Tustin CA 92780-3846 Ph: (714) 544-6345 |
| NPI Number | 1891342267 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891342267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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