Provider Demographics
NPI:1891968038
Name:SANDHU, BIRENDERPAL SINGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:BIRENDERPAL
Middle Name:SINGH
Last Name:SANDHU
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 1:3380 A SANPABLO DAM RD
Mailing Address - Street 2:
Mailing Address - City:SANPABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94803-7202
Mailing Address - Country:US
Mailing Address - Phone:510-262-0611
Mailing Address - Fax:510-262-0679
Practice Address - Street 1:3380A SAN PABLO DAM RD
Practice Address - Street 2:
Practice Address - City:EL SOBRANTE
Practice Address - State:CA
Practice Address - Zip Code:94803-7202
Practice Address - Country:US
Practice Address - Phone:510-262-0611
Practice Address - Fax:510-262-0679
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37736122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist