DR. Alireza Khansari, DDS, MSD

NPI #1821183864 in Poway, California

Provider Information

NPI Number: 1821183864
Entity Type: Individual
Name: DR. Alireza Khansari, DDS, MSD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DDS, MSD
Enumeration Date: Oct 4, 2006
Last Updated: Aug 5, 2025

Practice Location

Address: 12630 MONTE VISTA ROAD. #204
City: Poway
State: California
ZIP Code: 92064
Phone: (858) 679-0142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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Organizations

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