# AZFAR SIDDIQUI DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881413417
- **Authorized official:** AZFAR SIDDIQUI DMD (OWNER/PROVIDER)
- **Authorized official phone:** (623) 582-9622

## Contact information

- **Practice address:** 16630 W GREENWAY RD STE 319, SURPRISE, AZ 85388-2189
- **Practice address phone:** (623) 582-9622
- **Mailing address:** 7012 W FIREBIRD DR, GLENDALE, AZ 85308-9424
- **Mailing address phone:** (623) 225-8968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |
| 1223X2210X | Orofacial Pain Dentistry | — | NULL | Yes |
| 1223X2210X | Orofacial Pain Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2024
- **Last updated:** 10/10/2024