Provider Demographics
NPI:1407024441
Name:GILL, AMARDEEP KAUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMARDEEP
Middle Name:KAUR
Last Name:GILL
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 1:3290 ARENA BLVD
Mailing Address - Street 2:SUITE 610
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-3003
Mailing Address - Country:US
Mailing Address - Phone:916-574-9400
Mailing Address - Fax:916-574-9494
Practice Address - Street 1:3290 ARENA BLVD
Practice Address - Street 2:SUITE 610
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-3003
Practice Address - Country:US
Practice Address - Phone:916-574-9400
Practice Address - Fax:916-574-9494
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50464122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist