Basic Information
Provider Information
NPI: 1760737407
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SROA
FirstName: PARMINDER
MiddleName: K.
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6015 WATT AVE STE 2
Address2:  
City: NORTH HIGHLANDS
State: CA
PostalCode: 956604294
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 6015 WATT AVE STE 2
Address2:  
City: NORTH HIGHLANDS
State: CA
PostalCode: 956604294
CountryCode: US
TelephoneNumber: 9166793925
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/18/2012
LastUpdateDate: 07/18/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
124Q00000X24109CAY Dental ProvidersDental Hygienist 

No ID Information.


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