Provider Demographics
NPI:1215772553
Name:HEHAR, SIMARDEEP KAUR (DDS)
Entity type:Individual
Prefix:
First Name:SIMARDEEP
Middle Name:KAUR
Last Name:HEHAR
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 1:97 MCKENNA AVE
Mailing Address - Street 2:
Mailing Address - City:KERMAN
Mailing Address - State:CA
Mailing Address - Zip Code:93630-2046
Mailing Address - Country:US
Mailing Address - Phone:559-512-9344
Mailing Address - Fax:
Practice Address - Street 1:6623 N RIVERSIDE DR STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-9325
Practice Address - Country:US
Practice Address - Phone:559-547-3120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1102491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice