Alireza
NPI #1588723951 in Poway, California
Provider Information
- NPI Number
- 1588723951
- Entity Type
- Organization
- Organization Name
- Alireza
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Dec 8, 2006
- Last Updated
- Feb 22, 2010
Practice Location
- Address
- 13422 POMERADO RD STE 202
- City
- Poway
- State
- California
- ZIP Code
- 92064-3548
- Phone
- (858) 679-0142
Authorized Official
- Name
- DR. ALIREZA KHANSARI, DDS, MSD
- Title
- PERIODONTIST
- Phone
- (858) 679-0142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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