Individual
SHELLEY SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4021 BENJAMIN DR WOODBURY, WOODBURY, MN 55129-5512
(763) 515-2593
Mailing address
7300 GALLAGHER DR APT 320, EDINA, MN 55435-3126
(612) 222-2644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14225
MN
Other
Enumeration date
06/25/2019
Last updated
12/29/2020
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