Sidhom, Mina M

Sidhom, Mina M is an individual health care provider with primary practice located at 1900 Reserve Blvd Apt 4106 , Gulf Breeze FL 32563-7092. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sidhom, Mina M can be contacted via phone (727) 481-9742.

Contact Information

Primary practice address
1900 Reserve Blvd Apt 4106 Gulf Breeze FL 32563-7092
Phone: (727) 481-9742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN23377 Florida

Profile Details

NPI number 1427540475
LBN Legal business name Sidhom, Mina M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2018
Last updated Jun 5th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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