Healthcare Provider Details

I. General information

NPI: 1285084020
Provider Name (Legal Business Name): SONAL SINGH D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 08/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1788 POMAR WAY
WALNUT CREEK CA
94598-1415
US

IV. Provider business mailing address

1788 POMAR WAY
WALNUT CREEK CA
94598-1415
US

V. Phone/Fax

Practice location:
  • Phone: 765-586-2887
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDDS100482
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: