Individual
MRS. RANDEEP KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DA
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 626-4148
(503) 626-4412
Mailing address
15800 SW BULRUSH LN, TIGARD, OR 97223-2609
(503) 524-4731
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
113557
OR
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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