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Sidhu Family Dental Llc
Dental Clinic/Center in Douglas, Massachusetts
NPI 1588265771

Sidhu Family Dental Llc is a Dental Clinic/Center based in Douglas, MA and is specialized in Dental. Sidhu Family Dental Llc practices in Douglas, MA. The NPI Number for Sidhu Family Dental Llc is 1588265771 and holds a License No. (Massachusetts).

The current practice location address for Sidhu Family Dental Llc is 15 West St Ste 101, Douglas, MA and can be reached out via phone at 508-476-2828.

Location: 15 West St Ste 101, Douglas, MA, 01516-2160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588265771
Provider Name
Sidhu Family Dental Llc
Credential
Provider Entity Type
Organization
Address
15 West St Ste 101, Douglas, MA, 01516-2160
Phone Number
508-476-2828
Fax Number
Provider Enumeration Date
11/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1275005084 05 MA
institution
Provider Business Practice Location Address Details
Address
15 West St Ste 101
City
Douglas
State
Massachusetts
Zip
01516-2160
Phone Number
508-476-2828
Fax Number
person
Provider Business Mailing Address Details
Address
15 West St Ste 101
City
Douglas
State
Massachusetts
Zip
01516-2160
Phone Number
508-476-2828
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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