Provider Demographics
NPI:1407596075
Name:SANDHU, RAVNEETINDER KAUR (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:RAVNEETINDER
Middle Name:KAUR
Last Name:SANDHU
Suffix:
Gender:F
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3358 CASTLEWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-1833
Mailing Address - Country:US
Mailing Address - Phone:817-808-4667
Mailing Address - Fax:
Practice Address - Street 1:1500 W HEBRON PKWY STE 108
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-6531
Practice Address - Country:US
Practice Address - Phone:214-731-0124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-31
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX379441223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics