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General NPI Number Information
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NPI Number | 1720974355
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Entity Type | Organization
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Legal Business Name | SURDEEP DENTAL GROUP OF FRESNO INC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1064 LEWIS ST
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City | KINGSBURG
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State | CA
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Zip | 93631-2414
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Country | US
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Telephone | 559-897-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 1064 LEWIS ST
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City | KINGSBURG
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State | CA
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Zip | 93631-2414
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Country | US
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Telephone | 559-897-2600
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. SURDEEP SINGH
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Credential | DDS
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Telephone | 559-708-9099
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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