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General NPI Number Information
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NPI Number | 1538548169
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Entity Type | Organization
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Legal Business Name | SINGHAL DENTAL INC
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 05/28/2015
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Provider Practice Location Address
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Address Line | 4264 GREEN RIVER RD SUITE # 102
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City | CORONA
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State | CA
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Zip | 92880-1632
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Country | US
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Telephone | 951-340-0200
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Fax | 951-278-9858
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Provider Business Mailing Address
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Address Line | 4264 GREEN RIVER RD SUITE # 102
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City | CORONA
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State | CA
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Zip | 92880-1632
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Country | US
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Telephone | 951-340-0200
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Fax | 951-278-9858
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TARSEM L SINGHAL
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Credential | D.D.S.
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Telephone | 951-340-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 27071
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License Number State | CA
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