Provider Demographics
NPI:1780702480
Name:DYAL, HERLIN KAUR (DDS)
Entity type:Individual
Prefix:DR
First Name:HERLIN
Middle Name:KAUR
Last Name:DYAL
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 1:6409 FOLSOM BLVD
Mailing Address - Street 2:SUITE #2
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-4620
Mailing Address - Country:US
Mailing Address - Phone:916-454-0855
Mailing Address - Fax:916-457-7581
Practice Address - Street 1:6409 FOLSOM BLVD
Practice Address - Street 2:SUITE #2
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-4620
Practice Address - Country:US
Practice Address - Phone:916-788-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA488041223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics