NPI 1043686959

Roohan Sidhu, DDS

Practitioner Dentist Manchester, CT

Practice location

Address: 240 Spencer St Dr Dental, Manchester, CT 06040-4618
Phone: (860) 645-8000
Mailing address: 215 William Penn Plz APT 1003, Durham, NC 27704-2545

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 11479 (CT)

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Registry record

NPI: 1043686959
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2015
Record last updated: 14 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.