Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122400000X | Denturist | 60596321 | WA |
NPI | 1972263499 |
---|---|
Provider Name | Mr. Iqbal Singh |
First Address | Seatac, WA 98168-3809 |
Second Address | Federal Way, WA 98003-4902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2021 |
Last Update Date | 23/12/2021 |