Individual
DR. MICHAEL ANTHONY SIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8955 WOOD RD, BETHESDA, MD 20889-3037
(559) 313-5858
Mailing address
11800 OLD GEORGETOWN RD UNIT 1120, ROCKVILLE, MD 20852-2647
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS101595
CA
1223P0300X
Periodontics
Primary
12879938-9923
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VAD0000
—
CA
Enumeration date
08/02/2017
Last updated
08/01/2024
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