Healthcare Provider Details

I. General information

NPI: 1316864986
Provider Name (Legal Business Name): LOVELEEN KAUR
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7984 W HAPPY VALLEY RD STE 100
PEORIA AZ
85383-4462
US

IV. Provider business mailing address

7984 W HAPPY VALLEY RD STE 100
PEORIA AZ
85383-4462
US

V. Phone/Fax

Practice location:
  • Phone: 623-253-9499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD012899
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: