Individual provider · NPI-1

Kanwarjot Bassi, DMD

Dentist · Renton, WA

NPI number1114680907
StatusActive
Last updated in NPPESOct 19, 2021

Details

NPI
1114680907
Entity type
Individual (NPI-1)
Name
Kanwarjot Bassi
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2021
Certification date
Oct 19, 2021
Last updated
Oct 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDE61183475WAYes

Practice location

17220 140th Ave Se Ste C
Renton, WA 98058-7000

Phone 425-654-4748

Mailing address

11100 Se Petrovitsky Rd Apt D305
Renton, WA 98055-5648

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