Individual
DR. ALI POURKHAYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11980 SAN VICENTE BLVD STE 819, LOS ANGELES, CA 90049-6606
(424) 372-9159
Mailing address
28729 CONEJO VIEW DR, AGOURA HILLS, CA 91301-3375
(818) 519-5632
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
108470
CA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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