# TEJASVI SIDHU

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013229954
- **Authorized official:** TEJASVI SIDHU (DENTIST)
- **Authorized official phone:** (206) 618-3482

## Contact information

- **Practice address:** 431 E WARD ST, KENT, WA 98030-4537
- **Practice address phone:** (206) 508-4420
- **Mailing address:** 431 E WARD ST, KENT, WA 98030-4537
- **Mailing address phone:** (206) 508-4420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60133154 | WA | Yes |

## Other

- **Enumeration date:** 07/08/2010
- **Last updated:** 07/08/2010