DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYAM KHOROUSHI

Active

Dentist · FRESNO, CA

Registration Details

NPI Number
1053201798
Provider Type
Individual
Gender
Female
NPI Issued
Jul 4, 2025 (0.83761326578739 yrs)
Last Updated
Oct 17, 2025
License
112410 (CA)

Practice Information

Address
4340 EAST JENSEN AVENUE, FRESNO, CA 93725
FRESNO, CA, 93725
Browse CA providers · Browse ZIP 93725
Phone
8004924227
Fax
5596466906
Primary Specialty
Dentist
122300000X

Other Dentist Providers in FRESNO, CA

Name Credential NPI
DR. DAVID J WRIGHT DDS 1588656458
DR. RONALD JAMES SANI DDS 1477545010
DR. STEPHEN MADS BECK DDS 1205891330
DR. DAVID S YAMAGUCHI DDS 1245296938
DR. ARTASHES AVAKIAN D.D.S. 1063438265
XUEWEN S CUI DDS 1437173317
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.