Provider Demographics
NPI:1336715077
Name:HARSIMRAN KAUR DDS DENTAL CORPORATION
Entity type:Organization
Organization Name:HARSIMRAN KAUR DDS DENTAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HARSIMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:213-793-1618
Mailing Address - Street 1:4605 BUENA VISTA RD STE 660
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-8793
Mailing Address - Country:US
Mailing Address - Phone:661-454-7600
Mailing Address - Fax:661-454-7601
Practice Address - Street 1:4605 BUENA VISTA RD STE 660
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-8793
Practice Address - Country:US
Practice Address - Phone:661-454-7600
Practice Address - Fax:661-454-7601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Multi-Specialty