NPI 1003063835

Randeep Kaur, DA

Practitioner Dental Assistant Beaverton, OR

Practice location

Address: 4855 SW Western Ave, Beaverton, OR 97005-3460
Phone: (503) 626-4148
Fax: (503) 626-4412
Mailing address: 15800 SW Bulrush Ln, Tigard, OR 97223-2609

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 113557 (OR)

Other Dental Assistant providers in Oregon →

Registry record

NPI: 1003063835
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2008
Record last updated: 22 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.