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NPI Code Detail

MEDICARE: AMANJYOT KAUR BAINS DDS

MEDICARE: AMANJYOT KAUR BAINS DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric DentistryDDS105512CA
2122300000XDentistDDS105512CA

General Provider Information

NPI Number : 1629635263
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANJYOT KAUR BAINS DDS
Provider Business Mailing Address
First Line : 3911 CLEVELAND AVE # 33382
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-3402
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4058 WILLOWS RD
Second Line :
City : ALPINE
State : CA
Zip : 91901-1668
Country : US
Telephone Number : 619-445-1188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2019
Last Update Date : 01/23/2026

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Directions to “ AMANJYOT KAUR BAINS DDS” Practice Location

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