| Seaside Oral Surgery | |
|
105 Durian St Ste C Vista CA 92083-6240 | |
| (949) 510-7795 | |
| Not Available |
| Full Name | Seaside Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 105 Durian St Ste C, Vista, 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 |
|---|---|
| Seaside Oral Surgery 360 E 1st St # 698 Tustin CA 92780-3211 Ph: () - | Seaside Oral Surgery 105 Durian St Ste C Vista CA 92083-6240 Ph: (949) 510-7795 |
| NPI Number | 1740857812 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740857812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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