Individual
DR. DASIRAE DANIELLE SIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
875 UNION AVENUE, MEMPHIS, TN 38163-9375
(901) 448-5500
Mailing address
875 UNION AVENUE, MEMPHIS, TN 38163-3047
(901) 448-5500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7625
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7625
STATE OF NEBRASKA - DHHS
NE
Enumeration date
07/08/2020
Last updated
06/07/2021
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