Provider Demographics
NPI:1386711430
Name:SINGH, BALWINDER (DDS)
Entity type:Individual
Prefix:
First Name:BALWINDER
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 LARKSPUR DR ,SUIT D
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-1463
Mailing Address - Country:US
Mailing Address - Phone:510-754-9047
Mailing Address - Fax:
Practice Address - Street 1:922 LARKSPUR DR
Practice Address - Street 2:SUIT D
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-1463
Practice Address - Country:US
Practice Address - Phone:510-754-9047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA544421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice