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Organization
AZFAR SIDDIQUI DMD PLLC
Active
Organization
AZFAR SIDDIQUI DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZFAR SIDDIQUI DMD (OWNER/PROVIDER)
(623) 582-9622
Entity
Organization
Contact information
Practice address
16630 W GREENWAY RD STE 319, SURPRISE, AZ 85388-2189
(623) 582-9622
Mailing address
7012 W FIREBIRD DR, GLENDALE, AZ 85308-9424
(623) 225-8968
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
—
NULL
1223P0700X
Prosthodontics
—
—
1223X2210X
Orofacial Pain Dentistry
Primary
—
NULL
1223X2210X
Orofacial Pain Dentistry
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/10/2024
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