| Melissa Khurasany A Professional Corp | |
|
150 W San Jose Ave Claremont CA 91711-5204 | |
| (909) 480-1705 | |
| Not Available |
| Full Name | Melissa Khurasany A Professional Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 150 W San Jose Ave, Claremont, California |
| Authorized Official Name and Position | Melissa Esmailzadeh Khurasany (OWNER) |
| Authorized Official Contact | 9496143651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Khurasany A Professional Corp 5059 Stillwater Way Rancho Cucamonga CA 91739-2628 Ph: () - | Melissa Khurasany A Professional Corp 150 W San Jose Ave Claremont CA 91711-5204 Ph: (909) 480-1705 |
| NPI Number | 1992226104 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 06/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992226104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 64760 (California) | Primary |
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