# KIRANDEEP KAUR DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KIRANDEEP KAUR DDS INC.
- **Other names:** Manteca Smiles Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841943339
- **Legal business name:** KIRANDEEP KAUR DDS INC.
- **Authorized official:** AMANDEEP SINGH (MANAGER)
- **Authorized official phone:** (646) 413-5840

## Contact information

- **Practice address:** 132 N GRANT AVE, MANTECA, CA 95336-4601
- **Practice address phone:** (209) 239-5996
- **Practice address fax:** (209) 239-5996
- **Mailing address:** 1361 S HART DR, MOUNTAIN HOUSE, CA 95391-1483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2022
- **Last updated:** 02/03/2022