Individual
AMARDEEP BAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9250 LAGUNA SPRINGS DRIVE, SUITE 205, ELK GROVE, CA 95758
(916) 478-8617
Mailing address
9250 LAGUNA SPRINGS DRIVE, SUITE 205, ELK GROVE, CA 95758-7947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS101597
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2016
Last updated
07/09/2018
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