Provider Demographics
NPI:1710059993
Name:KUNWAR, RAVINDER SINGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAVINDER
Middle Name:SINGH
Last Name:KUNWAR
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 1:23327 CLEARWATER LN
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1627
Mailing Address - Country:US
Mailing Address - Phone:773-807-3290
Mailing Address - Fax:
Practice Address - Street 1:27947 SLOAN CANYON RD
Practice Address - Street 2:
Practice Address - City:CASTAIC
Practice Address - State:CA
Practice Address - Zip Code:91384-2594
Practice Address - Country:US
Practice Address - Phone:661-666-4433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND121841223G0001X
CA577011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice