AJAY D. AMIN D.D.S. INC. NPI 1275003048

NPI Information

AJAY D. AMIN D.D.S. INC. is a dental clinic center in San Diego, CA. AJAY D. AMIN D.D.S. INC. NPI is 1275003048. The provider is registered as an organization entity type.
The provider Is Doing Business As Lighthouse Dental.

The provider's business location address is:

3625 MIDWAY DR STE A
SAN DIEGO, CA
ZIP 92110-253
Phone: (619) 224-2204

The provider's authorized official is Ajay Dilip Amin .
The authorized official title is President and has the following contact phone number (619) 224-2204.

The enumeration date for this NPI number is 12/5/2018 and was last updated on 1/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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