Shadi Kamyab-Khorasani

NPI #1811582273 in Duarte, California

Provider Information

NPI Number: 1811582273
Entity Type: Individual
Name: Shadi Kamyab-Khorasani
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Mar 7, 2021
Last Updated: Mar 7, 2021

Practice Location

Address: 225 WESTVALE RD
City: Duarte
State: California
ZIP Code: 91010-1304
Phone: (310) 408-9596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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