Individual
AJAYDEEP SINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
532 E 81ST AVE, MERRILLVILLE, IN 46410
(219) 525-0502
Mailing address
532 E 81ST AVE, MERRILLVILLE, IN 46410-5599
(219) 525-0502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012974A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
STUDENT IN AN ORGANIZED HEALTHCARE EDUCATION/TRAINING PROGRAM
—
Enumeration date
04/06/2018
Last updated
07/10/2019
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