Provider Demographics
NPI:1912782236
Name:KHINDA, KAMALPREET (DDS)
Entity Type:Individual
Prefix:
First Name:KAMALPREET
Middle Name:
Last Name:KHINDA
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 1:6419 N CAVA LN
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-1958
Mailing Address - Country:US
Mailing Address - Phone:626-698-5377
Mailing Address - Fax:
Practice Address - Street 1:260 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-5048
Practice Address - Country:US
Practice Address - Phone:909-546-7064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109209122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist