Provider Demographics
NPI:1396147807
Name:DEO, RITU DAYAL SINGH (DMD)
Entity type:Individual
Prefix:DR
First Name:RITU DAYAL
Middle Name:SINGH
Last Name:DEO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 W YOSEMITE AVE
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-4523
Mailing Address - Country:US
Mailing Address - Phone:559-673-7700
Mailing Address - Fax:559-673-7702
Practice Address - Street 1:620 W YOSEMITE AVE
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-4523
Practice Address - Country:US
Practice Address - Phone:559-673-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0111911223G0001X
CA1073421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice