Provider Demographics
NPI:1962179036
Name:ALI SHOJANIA DDS INC
Entity type:Organization
Organization Name:ALI SHOJANIA DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOJANIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:858-922-3762
Mailing Address - Street 1:5927 BALBOA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2711
Mailing Address - Country:US
Mailing Address - Phone:858-922-3762
Mailing Address - Fax:858-225-0410
Practice Address - Street 1:5927 BALBOA AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2711
Practice Address - Country:US
Practice Address - Phone:858-922-3762
Practice Address - Fax:858-225-0410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery