| Sidhu Family Dental Llc | |
|
15 West St Ste 101 Douglas MA 01516-2160 | |
| (508) 476-2828 | |
| Not Available |
| Full Name | Sidhu Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15 West St Ste 101, Douglas, Massachusetts |
| Authorized Official Name and Position | Jasjit Singh Sidhu (MANAGER) |
| Authorized Official Contact | 5084762828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sidhu Family Dental Llc 15 West St Ste 101 Douglas MA 01516-2160 Ph: (508) 476-2828 | Sidhu Family Dental Llc 15 West St Ste 101 Douglas MA 01516-2160 Ph: (508) 476-2828 |
| NPI Number | 1588265771 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 11/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588265771 | NPI | - | NPPES |
| 1275005084 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Shailza D Sharma Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 Main St, Douglas, MA 01516 Phone: 508-476-3115 |