Provider Demographics
NPI:1922408202
Name:HUNDAL-SANDHU, HARPREET KAUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARPREET
Middle Name:KAUR
Last Name:HUNDAL-SANDHU
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 1:1129 W PEBBLE DR
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-8512
Mailing Address - Country:US
Mailing Address - Phone:559-772-4443
Mailing Address - Fax:
Practice Address - Street 1:210 N 11TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4591
Practice Address - Country:US
Practice Address - Phone:559-772-3418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-24
Last Update Date:2014-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA639331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice