Provider Demographics
NPI:1023634243
Name:SARAO, AMANJOT KAUR (DMD)
Entity type:Individual
Prefix:DR
First Name:AMANJOT
Middle Name:KAUR
Last Name:SARAO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14976 OMEGA CT
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:VA
Mailing Address - Zip Code:20197-1664
Mailing Address - Country:US
Mailing Address - Phone:269-591-0504
Mailing Address - Fax:
Practice Address - Street 1:140 THOMAS JOHNSON DR STE 203
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4485
Practice Address - Country:US
Practice Address - Phone:301-662-8675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-23
Last Update Date:2022-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2951000825122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist