Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | D7051 | OR |
NPI | 1073731832 |
---|---|
Provider Name | Dr. Steven Singh |
First Address | Hillsboro, OR 97123 |
Second Address | Hillsboro, OR 97123 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 08/07/2007 |