MEDICARE: YUBA DENTAL

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1699132720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YUBA DENTAL

Provider Business Mailing Address
First Line	:	866 PLUMAS ST STE H
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-4022
Country	:	US
Telephone Number	:	530-870-8845
Fax Number	:

Provider Business Practice Location Address
First Line	:	866 PLUMAS ST STE H
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-4022
Country	:	US
Telephone Number	:	530-870-8845
Fax Number	:

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. KHUSHVIR SINGH
Credential	:
Telephone Number	:	530-870-8845

Provider Enumeration Date	:	01/20/2016
Last Update Date	:	01/20/2016

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Directions to “YUBA DENTAL ” Practice Location

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