Individual
DR. HAYDI ROBEIR SIDKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
557 PRAIRIE CENTER DR, EDEN PRAIRIE, MN 55344-5379
(952) 405-8838
Mailing address
557 PRAIRIE CENTER DR, EDEN PRAIRIE, MN 55344-5379
(952) 405-8838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D12056
MN
1223G0001X
General Practice Dentistry
Primary
12056
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
988179400
—
MN
Enumeration date
11/17/2006
Last updated
01/23/2009
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