Melody Khonsari Valid NPI
Individual provider · General Practice Dentistry · Thousand Oaks, CA
- NPI
- 1720562978
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 103107 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-09-23
- Last updated
- 2018-09-23
Practice location
1760 E Avenida De Los Arboles Ste A
Thousand Oaks, CA 91362-1392
(805) 494-5255