| Sidky Family Dentistry | |
|
557 Prairie Center Dr Eden Prairie MN 55344-5379 | |
| (952) 405-8838 | |
| Not Available |
| Full Name | Sidky Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 557 Prairie Center Dr, Eden Prairie, Minnesota |
| Authorized Official Name and Position | Haydi Robeir Sidky (OWNER / DENTIST) |
| Authorized Official Contact | 9524058838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sidky Family Dentistry 557 Prairie Center Dr Eden Prairie MN 55344-5379 Ph: (952) 405-8838 | Sidky Family Dentistry 557 Prairie Center Dr Eden Prairie MN 55344-5379 Ph: (952) 405-8838 |
| NPI Number | 1811135288 |
|---|---|
| Provider Enumeration Date | 01/23/2009 |
| Last Update Date | 01/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811135288 | NPI | - | NPPES |
| 988179400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12056 (Minnesota) | Primary |
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