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Individual

DR. KIRANDEEP KAUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
519 N 17TH AVE, WAUSAU, WI 54401-2910
(715) 842-5459
Mailing address
151030 SAGE LN, WAUSAU, WI 54401-5115
(510) 509-5264

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0030225
TX
1223G0001X
General Practice Dentistry
09239
IA
1223G0001X
General Practice Dentistry
Primary
1001190
WI

Other

Enumeration date
07/02/2014
Last updated
09/19/2024
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