Healthcare Provider Details

I. General information

NPI: 1881957033
Provider Name (Legal Business Name): NS KHURANA DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2012
Last Update Date: 06/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 9TH ST.
BENTON CITY WA
99320
US

IV. Provider business mailing address

609 9TH ST.
BENTON CITY WA
99320
US

V. Phone/Fax

Practice location:
  • Phone: 509-588-3000
  • Fax: 509-588-3223
Mailing address:
  • Phone: 509-588-3000
  • Fax: 509-588-3223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDE00009717
License Number StateWA

VIII. Authorized Official

Name: DR. NAUJOT SINGH KHURANA
Title or Position: OWNER
Credential: DMD
Phone: 509-588-3000