Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 102707 | CA |
NPI | 1003392499 |
---|---|
Provider Name | Navneet Shergill |
First Address | Roseville, CA 95747-8882 |
Second Address | Yuba City, CA 95991-4144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2018 |
Last Update Date | 08/07/2019 |