Provider Demographics
NPI:1295990786
Name:NAGRA, RASWINDER KAUR (DMD)
Entity type:Individual
Prefix:DR
First Name:RASWINDER
Middle Name:KAUR
Last Name:NAGRA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 HOWARD ST APT 3G
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2774
Mailing Address - Country:US
Mailing Address - Phone:403-568-7666
Mailing Address - Fax:
Practice Address - Street 1:10811 ASHTON AVE APT 209
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4886
Practice Address - Country:US
Practice Address - Phone:310-254-5241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA581581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice