| Daljeet Singh Sidhu Dentist P.c. | |
|
4209 Broadway Astoria NY 11103-2700 | |
| (718) 204-9345 | |
| (718) 204-2467 |
| Full Name | Daljeet Singh Sidhu Dentist P.c. |
|---|---|
| Speciality | Dentist |
| Location | 4209 Broadway, Astoria, New York |
| Authorized Official Name and Position | Daljeet Singh Sidhu (DENTIST) |
| Authorized Official Contact | 7182049345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daljeet Singh Sidhu Dentist P.c. 4209 Broadway Astoria NY 11103-2700 Ph: (718) 204-9345 | Daljeet Singh Sidhu Dentist P.c. 4209 Broadway Astoria NY 11103-2700 Ph: (718) 204-9345 |
| NPI Number | 1073503496 |
|---|---|
| Provider Enumeration Date | 10/26/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073503496 | NPI | - | NPPES |
| 00915540 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 038097 (New York) | Primary |
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