Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | DR60468285 | WA |
NPI | 1588080253 |
---|---|
Provider Name | Mr. Akashdeep Singh Villing |
First Address | Seattle, WA 98195 |
Second Address | Seattle, WA 98195 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2014 |
Last Update Date | 28/01/2015 |