Individual
DILPREET K SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4209 BROADWAY, ASTORIA, NY 11103-2700
(718) 204-9345
Mailing address
25 PHAETONS DR, MELVILLE, NY 11747-2028
(516) 864-3773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50056886
NY
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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