Provider Demographics
NPI:1447546841
Name:KAUR, RAJEE (DDS)
Entity type:Individual
Prefix:DR
First Name:RAJEE
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:467 COLLEGE BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-5436
Mailing Address - Country:US
Mailing Address - Phone:917-443-2961
Mailing Address - Fax:
Practice Address - Street 1:467 COLLEGE BLVD STE 2
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-5436
Practice Address - Country:US
Practice Address - Phone:917-443-2961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0113591223G0001X
MADN18557381223G0001X
CA1099831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice