Organization
INDRA SIDHU DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INDRA SIDHU DDS (OWNER)
(301) 498-0002
Entity
Organization
Contact information
Practice address
208 CRAIN HWY S, GLEN BURNIE, MD 21061-3530
(410) 553-0651
(410) 510-1009
Mailing address
208 CRAIN HWY S, GLEN BURNIE, MD 21061-3530
(410) 553-0651
(410) 510-1009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11295
MD
Other
Enumeration date
11/11/2010
Last updated
01/19/2024
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