Individual
ALIREZA ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
1409 S SALTAIR AVE APT 301, LOS ANGELES, CA 90025-2176
(424) 299-7780
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
06/13/2026
Last updated
06/13/2026
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