Provider Demographics
NPI:1265153316
Name:MULTANI, AMRITPAL KAUR (DDS)
Entity type:Individual
Prefix:DR
First Name:AMRITPAL
Middle Name:KAUR
Last Name:MULTANI
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 1:23815 114TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-3489
Mailing Address - Country:US
Mailing Address - Phone:253-332-3514
Mailing Address - Fax:
Practice Address - Street 1:240 NW GILMAN BLVD STE 7
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-2418
Practice Address - Country:US
Practice Address - Phone:425-490-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE61327646122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty