Provider Demographics
NPI:1902208796
Name:SINGH, ARUNA
Entity Type:Individual
Prefix:
First Name:ARUNA
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 E HATCH RD
Mailing Address - Street 2:#102
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95351-5087
Mailing Address - Country:US
Mailing Address - Phone:209-531-2051
Mailing Address - Fax:
Practice Address - Street 1:1440 E HATCH RD
Practice Address - Street 2:#102
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95351-5087
Practice Address - Country:US
Practice Address - Phone:209-531-2051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64024122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist