Organization
INDRA SIDHU DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUNSHA KAUR SIDHU (ASSOCIATE DENTIST)
(301) 498-0002
Entity
Organization
Contact information
Practice address
208 CRAIN HWY SW, GLEN BURNIE, MD 21032
(410) 553-0651
Mailing address
208 CRAIN HWY SW, GLEN BURNIE, MD 21032
(410) 553-0651
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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