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1588723951
ALIREZA
POWAY, CA
NPI
1588723951
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Entity Type
Organization
Authorized Contact
ALIREZA KHANSARI
Periodontist
858-679-0142
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist Periodontics
Enumeration Date
2006-12-08
Last Update Date
2010-02-22
Business Address
ALIREZA
13422 POMERADO RD STE 202
POWAY, CA 92064-3548
Phone number: 858-679-0142
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Mailing Address
ALIREZA
PO BOX 1334
POWAY, CA 92074-1334
Phone number: 858-679-0142
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