Provider Demographics
NPI:1932583093
Name:RANDHAWA, NAVJOT KAUR (DMD)
Entity Type:Individual
Prefix:DR
First Name:NAVJOT
Middle Name:KAUR
Last Name:RANDHAWA
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 1:2206 STATE HIGHWAY 16 S
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:TX
Mailing Address - Zip Code:76450-4616
Mailing Address - Country:US
Mailing Address - Phone:940-228-3070
Mailing Address - Fax:
Practice Address - Street 1:2206 STATE HIGHWAY 16 S
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:TX
Practice Address - Zip Code:76450-4616
Practice Address - Country:US
Practice Address - Phone:940-228-3070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-17
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31227122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist