Provider Demographics
NPI:1154838076
Name:HARPRABH D SINGH DMD DENTAL CORPORATION
Entity Type:Organization
Organization Name:HARPRABH D SINGH DMD DENTAL CORPORATION
Other - Org Name:PURE DENTAL OF MURRIETA & ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HARPRABH
Authorized Official - Middle Name:DEV
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:951-698-2800
Mailing Address - Street 1:40585 CALIFORNIA OAKS RD STE F1
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5724
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:40585 CALIFORNIA OAKS RD STE F1
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5724
Practice Address - Country:US
Practice Address - Phone:951-698-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-30
Last Update Date:2017-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58473261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1223G0001XOtherHEALTHCARE