Individual
DR. PRABHJOT S SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18910 28TH AVE W STE 202, LYNNWOOD, WA 98036-4701
(425) 775-5557
Mailing address
3870 82ND AVE SE, MERCER ISLAND, WA 98040-3539
(347) 453-2111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE-00010707
WA
Other
Enumeration date
09/04/2007
Last updated
10/02/2007
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