Provider Demographics
NPI:1043553647
Name:AMRITPAL KAUR DDS,PC
Entity Type:Organization
Organization Name:AMRITPAL KAUR DDS,PC
Other - Org Name:AMRIT KAUR DDS,PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMRITPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-921-7180
Mailing Address - Street 1:35408 NILES BLVD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-1552
Mailing Address - Country:US
Mailing Address - Phone:510-921-7180
Mailing Address - Fax:
Practice Address - Street 1:2701 DECOTO RD
Practice Address - Street 2:SUITE#1A
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-4940
Practice Address - Country:US
Practice Address - Phone:510-921-7180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61602122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty