Individual
AHMED HUSAIN SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12100 JEFFERSON AVE, NEWPORT NEWS, VA 23602-6908
(732) 668-9275
Mailing address
12108 FOREST SAGE LN, PEARLAND, TX 77584-4573
(713) 340-0394
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417240
VA
1223G0001X
General Practice Dentistry
26557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26557
—
TX
Enumeration date
07/12/2011
Last updated
10/13/2022
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