Organization · Type 2 NPI
Melissa Khurasany A Professional Corp
Dental Clinic/Center · Claremont, CA
NPI number
1992226104
Active
Practice location
150 W San Jose Ave
Claremont, CA 91711-5204
Mailing address
5059 Stillwater Way
Rancho Cucamonga, CA 91739-2628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 64760 (CA) |
Dental Clinic/Center: Definition to come...
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About NPI 1992226104
Melissa Khurasany A Professional Corp's National Provider Identifier is 1992226104, issued on Jun 28, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Claremont, CA. The record was last updated on Jun 28, 2017.