Individual
DR. AMANDEEP SINGH GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1518 COFFEE RD STE B, MODESTO, CA 95355-3164
(209) 549-1721
(209) 549-0173
Mailing address
1518 COFFEE RD STE B, MODESTO, CA 95355-3164
(646) 275-6836
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61025
CA
1223G0001X
General Practice Dentistry
D12868
MN
Other
Enumeration date
09/17/2010
Last updated
01/30/2013
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