Provider Demographics
NPI:1215289954
Name:N.S. KHURANA,DMD, VI, PLLC
Entity type:Organization
Organization Name:N.S. KHURANA,DMD, VI, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHADIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-837-2731
Mailing Address - Street 1:110 W YAKIMA VALLEY HWY
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-1352
Mailing Address - Country:US
Mailing Address - Phone:509-837-2731
Mailing Address - Fax:509-837-2202
Practice Address - Street 1:110 W YAKIMA VALLEY HWY
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-1352
Practice Address - Country:US
Practice Address - Phone:509-837-2731
Practice Address - Fax:509-837-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000097171223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty