Individual
DR. JIVTESH SINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1644 DEER PARK AVE, DEER PARK, NY 11729-5211
(631) 586-7100
Mailing address
38 RIM LN, HICKSVILLE, NY 11801-6117
(917) 913-0606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054842-1
NY
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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