Provider Demographics
NPI:1306383500
Name:ZORAWAR SINGH, DDS, MPH, PLLC
Entity Type:Organization
Organization Name:ZORAWAR SINGH, DDS, MPH, PLLC
Other - Org Name:WILLOW SMILES DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZORAWAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MPH
Authorized Official - Phone:714-470-7085
Mailing Address - Street 1:3850 S MERIDIAN
Mailing Address - Street 2:STE 5
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-3701
Mailing Address - Country:US
Mailing Address - Phone:253-864-0310
Mailing Address - Fax:253-864-3739
Practice Address - Street 1:3850 S MERIDIAN
Practice Address - Street 2:STE 5
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-3701
Practice Address - Country:US
Practice Address - Phone:253-864-0310
Practice Address - Fax:253-864-3739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 60498944122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty