Provider Demographics
NPI:1467400374
Name:NAGRA, DEVINDERPAL SINGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEVINDERPAL
Middle Name:SINGH
Last Name:NAGRA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:398 E HOLT BLVD
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-1616
Mailing Address - Country:US
Mailing Address - Phone:909-986-8100
Mailing Address - Fax:877-310-0733
Practice Address - Street 1:398 E HOLT BLVD
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-1616
Practice Address - Country:US
Practice Address - Phone:909-986-8100
Practice Address - Fax:877-310-0733
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33152122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist