Organization
DALJEET SINGH SIDHU DENTIST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALJEET SINGH SIDHU DDS (DENTIST)
(718) 204-9345
Entity
Organization
Contact information
Practice address
4209 BROADWAY, ASTORIA, NY 11103-2700
(718) 204-9345
(718) 204-2467
Mailing address
4209 BROADWAY, ASTORIA, NY 11103-2700
(718) 204-9345
(718) 204-2467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
038097
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00915540
—
NY
Enumeration date
10/26/2005
Last updated
08/22/2020
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