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General NPI Number Information
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NPI Number | 1063763019
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Entity Type | Organization
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Legal Business Name | SINGH D.M.D.,DENTAL CORPORATION
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Dates
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Enumeration Date | 09/29/2012
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Last Update Date | 09/29/2012
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Provider Practice Location Address
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Address Line | 10811 GARVEY AVE
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City | EL MONTE
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State | CA
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Zip | 91733-2301
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Country | US
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Telephone | 626-442-6115
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Fax | 626-442-8084
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Provider Business Mailing Address
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Address Line | 10811 GARVEY AVE
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City | EL MONTE
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State | CA
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Zip | 91733-2301
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Country | US
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Telephone | 626-442-6115
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARDEV M SINGH
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Credential | D.M.D
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Telephone | 626-442-6115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 55334
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License Number State | CA
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