Provider Demographics
NPI:1235436205
Name:BAINS, HARSIMRAN K
Entity Type:Individual
Prefix:DR
First Name:HARSIMRAN
Middle Name:K
Last Name:BAINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 COLLEGE HILL WAY
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-6090
Mailing Address - Country:US
Mailing Address - Phone:530-300-0383
Mailing Address - Fax:
Practice Address - Street 1:9450 FAIRWAY DR STE 110
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-3588
Practice Address - Country:US
Practice Address - Phone:916-771-8464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-27
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60215122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist