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NPI Code Detail

MEDICARE: DR. KARANJOT SINGH BATH DDS

MEDICARE:  DR. KARANJOT SINGH BATH  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
1122300000XDentist104992CA

General Provider Information

NPI Number : 1154949097
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KARANJOT SINGH BATH DDS
Provider Business Mailing Address
First Line : 8793 LIGHTWAVE AVE APT C132
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-5004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11230 SORRENTO VALLEY RD STE 130
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-1338
Country : US
Telephone Number : 858-682-2921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2020
Last Update Date : 12/07/2020

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Directions to “ DR. KARANJOT SINGH BATH DDS” Practice Location

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