Individual
DR. ALIREZA KHANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
12630 MONTE VISTA ROAD. #204, POWAY, CA 92064
(858) 679-0142
(858) 679-0165
Mailing address
12630 MONTE VISTA ROAD. #204, POWAY, CA 92064
(858) 679-0142
(858) 679-0165
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
49590
CA
Other
Enumeration date
10/04/2006
Last updated
08/05/2025
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