Individual
SUPRINA KAUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12412 EASTERN AVE, MIDDLE RIVER, MD 21220
(410) 335-7771
Mailing address
3126 MURRAY RD, FINKSBURG, MD 21048-2400
(410) 926-8158
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15719
MD
Other
Enumeration date
06/25/2014
Last updated
11/05/2019
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