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General NPI Number Information
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NPI Number | 1821934282
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Entity Type | Organization
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Legal Business Name | KAUR SMILES DENTAL CORP
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 255 W BULLARD AVE STE 119
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City | CLOVIS
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State | CA
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Zip | 93612-0861
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Country | US
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Telephone | 559-753-6949
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Fax | 559-753-6949
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Provider Business Mailing Address
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Address Line | PO BOX 2098
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City | CLOVIS
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State | CA
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Zip | 93613-2098
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAJDEEP KAUR
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Credential | DDS
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Telephone | 559-753-6949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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