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General NPI Number Information
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NPI Number | 1386360881
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Entity Type | Organization
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Legal Business Name | DR R SINGH DDS A DENTAL CORPORATION
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 19665 S MOUNTAIN HOUSE PKWAY
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City | MOUNTAIN HOUSE
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State | CA
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Zip | 95391
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Country | US
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Telephone | 209-618-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 3246 W GRANT LINE RD
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City | TRACY
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State | CA
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Zip | 95304-8427
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Country | US
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Telephone | 510-754-6525
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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. RAMAN SINGH
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Credential | DDS
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Telephone | 510-754-6525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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