Individual
DR. FAHAD SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6700
Mailing address
1025 ACADEMY DR, ROCHESTER HILLS, MI 48307-4607
(732) 799-5756
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901600262
MI
1223P0221X
Pediatric Dentistry
38097
TX
Other
Enumeration date
08/23/2018
Last updated
03/22/2022
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