DR. Ali Reza Mansouri, DDS

NPI #1073688560 in Irvine, California

Provider Information

NPI Number: 1073688560
Entity Type: Individual
Name: DR. Ali Reza Mansouri, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 21, 2006
Last Updated: Jul 13, 2007

Practice Location

Address: 2500 ALTON PKWY
Address 2: SUITE 200
City: Irvine
State: California
ZIP Code: 92606-5024
Phone: (949) 748-7373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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