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Provider Information for 1518216415



DR. JAGANDEEP SINGH BAJWA D.M.D.

Other Name:   JASON BAJWA
Gender: MALE

Individual NPI: 1518216415

Calendar   Last Updated:  2013-08-13
  Certification Date: 

Details

Name Value
NPI 1518216415
Enumeration Date 2012-09-06
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 924 E SAN CARLOS WAY
CHANDLER, AZ 85249-3032
United States

Phone: 480-358-8445 | Fax: 480-986-4125
View Map External Link
Primary Practice Address 5355 W CHANDLER BLVD SUITE 1
CHANDLER, AZ 85226-8603
United States

Phone: 480-961-4888 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice AZ D008417