| Singh Dental Group Llc | |
|
4100 Portola Dr Ste 2 Santa Cruz CA 95062-4500 | |
| (831) 475-4100 | |
| Not Available |
| Full Name | Singh Dental Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4100 Portola Dr Ste 2, Santa Cruz, California |
| Authorized Official Name and Position | Joshman Raj Singh (OWNER) |
| Authorized Official Contact | 5106743840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Singh Dental Group Llc 4100 Portola Dr Ste 2 Santa Cruz CA 95062-4500 Ph: (831) 475-4100 | Singh Dental Group Llc 4100 Portola Dr Ste 2 Santa Cruz CA 95062-4500 Ph: (831) 475-4100 |
| NPI Number | 1427888676 |
|---|---|
| Provider Enumeration Date | 08/02/2024 |
| Last Update Date | 12/02/2024 |
| Medicare PECOS PAC ID | 1557897303 |
|---|---|
| Medicare Enrollment ID | O20241204001365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427888676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Joshman Raj Singh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932832631 PECOS PAC ID: 2466988217 Enrollment ID: I20241204001471 |
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