| NPI | 1114208782 |
|---|---|
| Former Name | MANPREET SINGH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE60243483) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901020435) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2016-07-25 |