Provider Demographics
NPI:1700063740
Name:GURON, AMANPREET (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMANPREET
Middle Name:
Last Name:GURON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:AMANPREET
Other - Middle Name:K
Other - Last Name:SIDHU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:3870 82ND AVE SE
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3539
Mailing Address - Country:US
Mailing Address - Phone:206-953-5850
Mailing Address - Fax:206-236-1567
Practice Address - Street 1:1507 S 348TH ST
Practice Address - Street 2:STE K-101
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8374
Practice Address - Country:US
Practice Address - Phone:253-835-3377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist