Provider Demographics
NPI:1225889678
Name:KAUR, HARPREET (DDA)
Entity Type:Individual
Prefix:MRS
First Name:HARPREET
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:DDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6534 125TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-3980
Mailing Address - Country:US
Mailing Address - Phone:206-960-9004
Mailing Address - Fax:
Practice Address - Street 1:6534 125TH AVE SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-3980
Practice Address - Country:US
Practice Address - Phone:206-960-9004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109940122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist