Provider Demographics
NPI:1730494113
Name:GILL, RAMANDEEP KAUR (DDS)
Entity Type:Individual
Prefix:
First Name:RAMANDEEP
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 1:1548 MAEHL DR
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95337-7215
Mailing Address - Country:US
Mailing Address - Phone:925-818-9455
Mailing Address - Fax:
Practice Address - Street 1:1148 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95337-9505
Practice Address - Country:US
Practice Address - Phone:209-249-0123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62882122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist