Provider Demographics
NPI:1659773976
Name:SAINI, HARNEET
Entity Type:Individual
Prefix:
First Name:HARNEET
Middle Name:
Last Name:SAINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NEETI
Other - Middle Name:
Other - Last Name:SAINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:707 ASHLYNN WAY
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95206-6295
Mailing Address - Country:US
Mailing Address - Phone:209-823-9341
Mailing Address - Fax:
Practice Address - Street 1:1507 W YOSEMITE AVE
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95337-5159
Practice Address - Country:US
Practice Address - Phone:209-823-9341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53028122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist