Individual provider · Type 1 NPI
Maryam Khoroushi
Dentist · Fresno, CA
Practice location
4340 East Jensen Avenue, Fresno, Ca 93725
Fresno, CA 93725
Fax (559) 646-6906
Mailing address
4340 East Jensen Avenue,, Fresno, Ca
Fresno, CA 93725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 112410 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1053201798
Maryam Khoroushi's National Provider Identifier is 1053201798, issued on Jul 4, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fresno, CA. The record was last updated on Oct 17, 2025.