Healthcare Provider Details

I. General information

NPI: 1366693939
Provider Name (Legal Business Name): AJAIPAL SINGH SEKHON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 05/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 BOGUE RD W6
YUBA CITY CA
95991-9243
US

IV. Provider business mailing address

540 BOGUE RD W6
YUBA CITY CA
95991-9243
US

V. Phone/Fax

Practice location:
  • Phone: 530-822-9090
  • Fax: 530-822-9096
Mailing address:
  • Phone: 530-822-9090
  • Fax: 530-822-9096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number57757
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: