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General NPI Number Information
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NPI Number | 1154719185
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Entity Type | Individual
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Provider Name | PREETI SIDHU D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/29/2014
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 2811 BUSINESS CENTER DR STE 105
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City | PEARLAND
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State | TX
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Zip | 77584-4161
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Country | US
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Telephone | 713-340-1418
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Fax |
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Provider Business Mailing Address
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Address Line | 5518 KING PLAINS CREEK LN
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City | SUGAR LAND
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State | TX
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Zip | 77479-7067
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 28515
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License Number State | TX
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