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NPI Code Detail

MEDICARE: PREETINDER KAUR

MEDICARE:   PREETINDER  KAUR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401417493VA

General Provider Information

NPI Number : 1861062291
Entity Type Code : Individual
Provider Name (Legal Business Name) : PREETINDER KAUR
Provider Business Mailing Address
First Line : 42794 NATIONS ST
Second Line :
City : CHANTILLY
State : VA
Zip : 20152-6714
Country : US
Telephone Number : 571-639-9406
Fax Number :
Provider Business Practice Location Address
First Line : 2065 S PLEASANT VALLEY RD
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-7001
Country : US
Telephone Number : 540-773-0057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2021
Last Update Date : 06/28/2021

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Directions to “ PREETINDER KAUR ” Practice Location

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