Provider Demographics
NPI:1306287446
Name:SIDHU, HARPREET KAUR (DDS)
Entity type:Individual
Prefix:DR
First Name:HARPREET
Middle Name:KAUR
Last Name:SIDHU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8404 E WOODLAND PARK DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99217-9235
Mailing Address - Country:US
Mailing Address - Phone:509-499-2322
Mailing Address - Fax:509-921-9936
Practice Address - Street 1:501 S BERNARD ST
Practice Address - Street 2:203
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2511
Practice Address - Country:US
Practice Address - Phone:503-952-2169
Practice Address - Fax:503-952-2269
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60389239122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist