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NPI Code Detail

MEDICARE: HARMANJOT KAUR SIDHU

MEDICARE:   HARMANJOT KAUR SIDHU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry38522TX

General Provider Information

NPI Number : 1144950007
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARMANJOT KAUR SIDHU
Provider Business Mailing Address
First Line : 2101 ALTAMESA BLVD STE 103
Second Line :
City : FORT WORTH
State : TX
Zip : 76134-3328
Country : US
Telephone Number : 817-725-4046
Fax Number :
Provider Business Practice Location Address
First Line : 2101 ALTAMESA BLVD STE 103
Second Line :
City : FORT WORTH
State : TX
Zip : 76134-3328
Country : US
Telephone Number : 817-725-4046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2022
Last Update Date : 06/14/2022

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Directions to “ HARMANJOT KAUR SIDHU ” Practice Location

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