Provider Demographics
NPI:1801153655
Name:ANITA C. SINGH, DDS, INC
Entity type:Organization
Organization Name:ANITA C. SINGH, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-674-6889
Mailing Address - Street 1:31641 AUTO CENTER DR
Mailing Address - Street 2:2A
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92530-4535
Mailing Address - Country:US
Mailing Address - Phone:951-674-6889
Mailing Address - Fax:951-674-6880
Practice Address - Street 1:31641 AUTO CENTER DR
Practice Address - Street 2:2A
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-4535
Practice Address - Country:US
Practice Address - Phone:951-674-6889
Practice Address - Fax:951-674-6880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38923122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1811097991OtherADDITIONAL NPI