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Individual

MANVIR KAUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
48 NE 11TH ST, MADRAS, OR 97741-1865
(541) 777-5010
Mailing address
1979 SW 41ST LN, REDMOND, OR 97756-6894
(253) 330-7138

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
61085507
WA
122300000X
Dentist
Primary
D12023
OR

Other

Enumeration date
07/14/2020
Last updated
07/03/2024
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