Healthcare Provider Details

I. General information

NPI: 1053237289
Provider Name (Legal Business Name): ARASHDEEP KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6920 AUBURN BLVD STE 100
CITRUS HEIGHTS CA
95621-4387
US

IV. Provider business mailing address

6033 VASSAR WAY
ROSEVILLE CA
95747-4303
US

V. Phone/Fax

Practice location:
  • Phone: 916-221-7031
  • Fax:
Mailing address:
  • Phone: 510-366-1419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113080
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: