Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DN1855553 | MA |
NPI | 1003125949 |
---|---|
Provider Name | Karneet Kaur |
First Address | Chelmsford, MA 01824-2703 |
Second Address | Chelmsford, MA 01824-2703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2010 |
Last Update Date | 27/09/2010 |