Provider Demographics
NPI:1043528656
Name:SINHA, MILU (DDS)
Entity Type:Individual
Prefix:DR
First Name:MILU
Middle Name:
Last Name:SINHA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34743 ARDENWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94555-3654
Mailing Address - Country:US
Mailing Address - Phone:510-505-0123
Mailing Address - Fax:510-505-0329
Practice Address - Street 1:34743 ARDENWOOD BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94555-3654
Practice Address - Country:US
Practice Address - Phone:510-505-0123
Practice Address - Fax:510-505-0329
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA516551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1467717421OtherNPI2