# ALIREZA KHOSHVAGHTI DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Montgomery Street Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154941276
- **Authorized official:** DR. ALIREZA KHOSHVAGHTI DDS (DIRECTOR)
- **Authorized official phone:** (240) 672-4801

## Contact information

- **Practice address:** 220 MONTGOMERY ST STE 483, SAN FRANCISCO, CA 94104-3410
- **Practice address phone:** (415) 398-6344
- **Practice address fax:** (415) 398-6268
- **Mailing address:** 220 MONTGOMERY ST STE 483, SAN FRANCISCO, CA 94104-3410
- **Mailing address phone:** (415) 398-6344
- **Mailing address fax:** (415) 398-6268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | NULL | Yes |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2020
- **Last updated:** 04/18/2020