Individual
AJITESH SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9870 CARROLL CANYON RD APT 115, SAN DIEGO, CA 92131-1166
(619) 704-2508
Mailing address
95 WALKERS BROOK DR, READING, MA 01867-3238
(310) 634-2856
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
110202
CA
1223P0300X
Periodontics
DN1859705
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2021
Last updated
08/15/2024
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