Individual
DR. ROD KHANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1422 ORCHARD LAKE DR STE A, CHARLOTTE, NC 28270-1653
(713) 208-8363
Mailing address
1422 ORCHARD LAKE DR STE A, CHARLOTTE, NC 28270-1653
(713) 208-8363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13678
NC
Other
Enumeration date
04/02/2022
Last updated
06/25/2024
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