Individual
DR. ALIREZA MAHYAR KHAVARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11 MEDICAL PARK DR, SUITE 103, POMONA, NY 10970
(845) 362-3400
(845) 362-3495
Mailing address
11 MEDICAL PARK DR, SUITE 103, POMONA, NY 10970
(845) 362-3400
(845) 362-3495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042774
NY
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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