Organization
CHILTON DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARDEEP K SIDHU DDS (PRESIDENT)
(908) 352-4438
Entity
Organization
Contact information
Practice address
465 NORTH AVE, ELIZABETH, NJ 07208-1737
(908) 352-4438
(908) 352-4525
Mailing address
465 NORTH AVE, ELIZABETH, NJ 07208-1737
(908) 352-4438
(908) 352-4525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI22241
NJ
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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