Provider Demographics
NPI:1417781261
Name:SINGH, JOANA DARC MARREIRO (DDS)
Entity type:Individual
Prefix:
First Name:JOANA
Middle Name:DARC MARREIRO
Last Name:SINGH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOANA
Other - Middle Name:DARC MARREIRO
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:7871 MISSION GROVE PKWY S APT 115
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508-5034
Mailing Address - Country:US
Mailing Address - Phone:928-612-8731
Mailing Address - Fax:
Practice Address - Street 1:14678 7TH ST STE 200
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-4002
Practice Address - Country:US
Practice Address - Phone:760-370-0794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1105911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice