Provider Demographics
NPI:1346549615
Name:SANDHU, HARSIMRAT KAUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARSIMRAT
Middle Name:KAUR
Last Name:SANDHU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 LEFFLER CIR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:08518-4000
Mailing Address - Country:US
Mailing Address - Phone:609-969-9030
Mailing Address - Fax:
Practice Address - Street 1:246 LEFFLER CIR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:NJ
Practice Address - Zip Code:08518-4000
Practice Address - Country:US
Practice Address - Phone:609-969-9030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02456300122300000X
PADSO38515122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist