Organization
TEJASVI SIDHU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEJASVI SIDHU (DENTIST)
(206) 618-3482
Entity
Organization
Contact information
Practice address
431 E WARD ST, KENT, WA 98030-4537
(206) 508-4420
Mailing address
431 E WARD ST, KENT, WA 98030-4537
(206) 508-4420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60133154
WA
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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