Healthcare Provider Details

I. General information

NPI: 1922929728
Provider Name (Legal Business Name): MANPREET KAUR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 ELIZA AVE
BELLINGHAM WA
98226-8279
US

IV. Provider business mailing address

5258 197 STREET
LANGLEY BC
V3A7X8
CA

V. Phone/Fax

Practice location:
  • Phone: 360-594-5467
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number70126602
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: