Provider Demographics
NPI:1811097991
Name:SINGH, ANITA C (DDS)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:C
Last Name:SINGH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:ANITA
Other - Middle Name:C
Other - Last Name:DANIEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:31641 AUTO CENTER DR
Mailing Address - Street 2:STE. 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:STE. 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
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38923122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist