MEDICARE: HARLOVJEET SINGH DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1487498309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARLOVJEET SINGH DDS INC

Provider Business Mailing Address
First Line	:	1837 E GIBSON RD STE D
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95776-5161
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1837 E GIBSON RD STE D
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95776-5161
Country	:	US
Telephone Number	:	718-415-6238
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HARLOVJEET SINGH
Credential	:	DDS
Telephone Number	:	718-415-6238

Provider Enumeration Date	:	06/24/2024
Last Update Date	:	06/24/2024

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