Provider Demographics
NPI:1841531530
Name:SEKHON, PRIMAL KAUR (DMD)
Entity type:Individual
Prefix:
First Name:PRIMAL
Middle Name:KAUR
Last Name:SEKHON
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 1:2650 CEDAR SPRINGS RD
Mailing Address - Street 2:7741
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-1495
Mailing Address - Country:US
Mailing Address - Phone:559-408-4087
Mailing Address - Fax:
Practice Address - Street 1:1235 S JOSEY LN
Practice Address - Street 2:534
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-7679
Practice Address - Country:US
Practice Address - Phone:559-408-4087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX314661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice