Individual
JASKIRAN KAUR GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3903 222ND PL SE, BOTHELL, WA 98021-4224
(425) 320-7456
Mailing address
3903 222ND PL SE, BOTHELL, WA 98021-4224
(425) 320-7456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11860
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2023
Last updated
08/08/2023
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