SHADI KAMYAB-KHORASANI

DUARTE, CA
NPI1811582273
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  DDS42557)
Enumeration Date2021-03-07
Last Update Date2021-03-07
Business Address
SHADI KAMYAB-KHORASANI
225 WESTVALE RD
DUARTE, CA 91010-1304
Phone number: 310-408-9596
Mailing Address
SHADI KAMYAB-KHORASANI
225 WESTVALE RD
DUARTE, CA 91010-1304
Phone number: 310-408-9596