Provider Demographics
NPI:1578937272
Name:JHAWAR, HARBIR SINGH (DDS, MBA, MPH)
Entity Type:Individual
Prefix:
First Name:HARBIR
Middle Name:SINGH
Last Name:JHAWAR
Suffix:
Gender:M
Credentials:DDS, MBA, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16196 JACOBS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504
Mailing Address - Country:US
Mailing Address - Phone:951-368-8366
Mailing Address - Fax:
Practice Address - Street 1:19040 VAN BUREN BLVD
Practice Address - Street 2:#111
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92508-9159
Practice Address - Country:US
Practice Address - Phone:951-789-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-18
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA652311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice