Individual provider · Type 1 NPI
Alireza Khansari, DDS, MSD
Periodontics · Poway, CA
NPI number
1821183864
Active
Practice location
12630 Monte Vista Road. #204
Poway, CA 92064
Fax (858) 679-0165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 49590 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Poway
About NPI 1821183864
Alireza Khansari, DDS, MSD's National Provider Identifier is 1821183864, issued on Oct 4, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Poway, CA. The record was last updated on Aug 5, 2025.