Provider Demographics
NPI:1780033613
Name:NOOR KHURANA II PLLC
Entity Type:Organization
Organization Name:NOOR KHURANA II PLLC
Other - Org Name:CADWELL DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAVJOT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:KHURANA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:509-588-5443
Mailing Address - Street 1:475 KEENE RD
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-5007
Mailing Address - Country:US
Mailing Address - Phone:509-392-4500
Mailing Address - Fax:509-627-6720
Practice Address - Street 1:475 KEENE RD
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-5007
Practice Address - Country:US
Practice Address - Phone:509-392-4500
Practice Address - Fax:509-627-6720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000097171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty