Provider Demographics
NPI:1366680472
Name:BADYAL, SANVIR SINGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:SANVIR
Middle Name:SINGH
Last Name:BADYAL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:SUNNY
Other - Middle Name:SINGH
Other - Last Name:BADYAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2987 MYOTIS DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2622
Mailing Address - Country:US
Mailing Address - Phone:916-761-7917
Mailing Address - Fax:
Practice Address - Street 1:2987 MYOTIS DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2622
Practice Address - Country:US
Practice Address - Phone:916-761-7917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58055122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist