Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 60414 | CA |
NPI | 1003104399 |
---|---|
Provider Name | Sumeet Kaur |
First Address | San Jose, CA 95112-5061 |
Second Address | Rocklin, CA 95677-2869 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2011 |
Last Update Date | 24/04/2014 |