MEDICARE: JAI SINGH NARULA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	106006	CA

General Provider Information

NPI Number	:	1154914737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAI SINGH NARULA DDS

Provider Business Mailing Address
First Line	:	70679 BOOTHILL RD
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-3405
Country	:	US
Telephone Number	:	760-567-5101
Fax Number	:

Provider Business Practice Location Address
First Line	:	44853 PORTOLA AVE STE B
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-3703
Country	:	US
Telephone Number	:	760-851-0643
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2021
Last Update Date	:	02/16/2021

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