Healthcare Provider Details

I. General information

NPI: 1841531530
Provider Name (Legal Business Name): PRIMAL KAUR SEKHON DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2013
Last Update Date: 11/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 S JOSEY LN 534
CARROLLTON TX
75006-7679
US

IV. Provider business mailing address

2650 CEDAR SPRINGS RD 7741
DALLAS TX
75201-1495
US

V. Phone/Fax

Practice location:
  • Phone: 559-408-4087
  • Fax:
Mailing address:
  • Phone: 559-408-4087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number31466
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: