Provider Demographics
NPI:1952734394
Name:KAUR, RUPINDERJIT
Entity Type:Individual
Prefix:
First Name:RUPINDERJIT
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 BRENNEN CIR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-5941
Mailing Address - Country:US
Mailing Address - Phone:916-742-0951
Mailing Address - Fax:
Practice Address - Street 1:3981 FOOTHILLS BLVD STE 160
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-7348
Practice Address - Country:US
Practice Address - Phone:916-742-0951
Practice Address - Fax:916-773-4348
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA626361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice