Provider Demographics
NPI:1851879738
Name:GREWAL, NAVNEET KAUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAVNEET
Middle Name:KAUR
Last Name:GREWAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:NAVNEET
Other - Middle Name:KAUR
Other - Last Name:SIDHU (MAIDEN NAME)
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3450 RUEMMELE RD APT 313
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-6084
Mailing Address - Country:US
Mailing Address - Phone:612-479-9530
Mailing Address - Fax:
Practice Address - Street 1:3300 32ND AVE S STE 103
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-5803
Practice Address - Country:US
Practice Address - Phone:701-765-3494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND2335122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist