Provider Demographics
NPI:1912755489
Name:MUNDI, JASHANDEEP KAUR (DDS)
Entity type:Individual
Prefix:MISS
First Name:JASHANDEEP
Middle Name:KAUR
Last Name:MUNDI
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 1:114 SQUIRE HALL
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-8006
Mailing Address - Country:US
Mailing Address - Phone:716-829-3717
Mailing Address - Fax:716-829-3895
Practice Address - Street 1:114 SQUIRE HALL
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-8006
Practice Address - Country:US
Practice Address - Phone:716-829-3717
Practice Address - Fax:716-829-3895
Is Sole Proprietor?:No
Enumeration Date:2024-05-09
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program