Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 12547 | CT |
NPI | 1053834721 |
---|---|
Provider Name | Dr. Manpreet Kaur Dhillon |
First Address | Brooklyn, NY 11225-4477 |
Second Address | Brooklyn, NY 11225 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2017 |
Last Update Date | 06/11/2019 |