Provider Demographics
NPI:1992219166
Name:SINGHMONTE LLC
Entity type:Organization
Organization Name:SINGHMONTE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:KIMANDEEP
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:RAKED
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-430-3379
Mailing Address - Street 1:3333 RAINIER AVE S STE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-6816
Mailing Address - Country:US
Mailing Address - Phone:206-588-2692
Mailing Address - Fax:206-223-0855
Practice Address - Street 1:3333 RAINIER AVE S STE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-6816
Practice Address - Country:US
Practice Address - Phone:206-588-2692
Practice Address - Fax:206-223-0855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-27
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60674956122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty