Provider Demographics
NPI:1093150658
Name:HANDOO, NIDHI Q (DDS)
Entity Type:Individual
Prefix:
First Name:NIDHI
Middle Name:Q
Last Name:HANDOO
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:322 S DENTAL SCIENCE BLDG
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1001
Mailing Address - Country:US
Mailing Address - Phone:319-384-1139
Mailing Address - Fax:319-384-1785
Practice Address - Street 1:322 DENTAL SCIENCE S
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1001
Practice Address - Country:US
Practice Address - Phone:319-384-1139
Practice Address - Fax:319-384-1785
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA401321223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology