Individual
DR. JAMES JENSON SIDD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
007 CHOOSGAI DRIVE, TOHATCHI HEALTH CENTER, TOHATCHI, NM 87325-1944
(505) 733-8440
(505) 722-1565
Mailing address
1100 N COLLEGE AVE., VA MEDICAL CENTER, FAYETTEVILLE, AR 72703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5176
AZ
Other
Enumeration date
07/26/2006
Last updated
07/28/2017
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