Provider Demographics
NPI: | 1073887550 |
---|---|
Name: | SONIKA SINGLA, DMD, PLLC |
Entity type: | Organization |
Organization Name: | SONIKA SINGLA, DMD, PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | GENERAL DENTIST |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | SONIKA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SINGLA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DMD |
Authorized Official - Phone: | 425-647-4319 |
Mailing Address - Street 1: | 1003 156TH AVE NE UNIT A204 |
Mailing Address - Street 2: | |
Mailing Address - City: | BELLEVUE |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 98007-7214 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 425-647-4319 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 14212 AMBAUM BLVD SW # LL1 |
Practice Address - Street 2: | |
Practice Address - City: | BURIEN |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98166-1449 |
Practice Address - Country: | US |
Practice Address - Phone: | 425-341-1111 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-03-01 |
Last Update Date: | 2020-07-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
WA | DE60092020 | 1223G0001X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1223G0001X | Dental Providers | Dentist | General Practice | Group - Single Specialty |