Healthcare Provider Details

I. General information

NPI: 1245977594
Provider Name (Legal Business Name): HARLEEN KAUR JUNEJA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date: 02/16/2023
Reactivation Date: 03/01/2023

III. Provider practice location address

MSCO6 3500, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM
87113
US

IV. Provider business mailing address

MSCO6 3500, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM
87113
US

V. Phone/Fax

Practice location:
  • Phone: 505-925-4031
  • Fax: 505-925-4030
Mailing address:
  • Phone: 505-925-4031
  • Fax: 505-925-4030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: