MEDICARE: DR. ANGAD SINGH BINDRA DDS

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	107496	CA

General Provider Information

NPI Number	:	1902535255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGAD SINGH BINDRA DDS

Provider Business Mailing Address
First Line	:	125 STATES ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1403
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1880 PLEASANT VALLEY AVE STE F
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-4267
Country	:	US
Telephone Number	:	510-654-5752
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2022
Last Update Date	:	06/09/2022

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