Individual
DR. SUKHVINDER KAUR GURAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
203 N LAKE DR, LEXINGTON, SC 29072-2833
(803) 429-7401
Mailing address
260 WOOD MOOR PL, COLUMBIA, SC 29212-2712
(803) 429-7401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1601
FL
1223G0001X
General Practice Dentistry
8836
SC
1223P0221X
Pediatric Dentistry
Primary
978PD
SC
Other
Enumeration date
07/15/2016
Last updated
12/22/2020
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