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General NPI Number Information
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NPI Number | 1770421497
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Entity Type | Organization
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Legal Business Name | GAGANDEEPKAURLLC
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 21 NE ROMANCE HILL RD STE 103
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City | BELFAIR
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State | WA
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Zip | 98528-8315
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Country | US
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Telephone | 360-275-6292
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Fax |
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Provider Business Mailing Address
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Address Line | 4807 133RD STREET CT NW
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City | GIG HARBOR
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State | WA
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Zip | 98332-7851
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Country | US
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Telephone | 646-265-3740
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Fax | 646-265-3740
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Authorized Official
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Title or Position | OWNER
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Name | DR. GAGAN DEEP KAUR
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Credential | DDS
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Telephone | 646-265-3740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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