| Indra Sidhu DDS | |
|
208 Crain Hwy S Glen Burnie MD 21061-3530 | |
| (410) 553-0651 | |
| (410) 510-1009 |
| Full Name | Indra Sidhu DDS |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 208 Crain Hwy S, Glen Burnie, Maryland |
| Authorized Official Name and Position | Indra Sidhu (OWNER) |
| Authorized Official Contact | 3014980002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indra Sidhu DDS 208 Crain Hwy S Glen Burnie MD 21061-3530 Ph: (410) 553-0651 | Indra Sidhu DDS 208 Crain Hwy S Glen Burnie MD 21061-3530 Ph: (410) 553-0651 |
| NPI Number | 1699076307 |
|---|---|
| Provider Enumeration Date | 11/11/2010 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699076307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11295 (Maryland) | Primary |
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Indra Sidhu DDS Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Crain Hwy Sw, Glen Burnie, MD 21032 Phone: 410-553-0651 |