| NPI | 1316609761 |
|---|---|
| Former Legal Business Name | MOHAN & SID PLLC |
| Entity Type | Organization |
| Authorized Contact | HARPREET SIDHU Dentist 509-499-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-13 |