Provider Demographics
NPI:1447981758
Name:SINGH & DAS DENTAL GROUP
Entity type:Organization
Organization Name:SINGH & DAS DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SORABH
Authorized Official - Middle Name:
Authorized Official - Last Name:DAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:707-782-8667
Mailing Address - Street 1:101 W AMERICAN CANYON RD STE 514
Mailing Address - Street 2:
Mailing Address - City:AMERICAN CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:94503-1163
Mailing Address - Country:US
Mailing Address - Phone:707-980-5265
Mailing Address - Fax:
Practice Address - Street 1:101 W AMERICAN CANYON RD STE 514
Practice Address - Street 2:
Practice Address - City:AMERICAN CANYON
Practice Address - State:CA
Practice Address - Zip Code:94503-1163
Practice Address - Country:US
Practice Address - Phone:707-980-5265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-19
Last Update Date:2022-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental