Organization
SIDDIQUI ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAMNOON SIDDIQUI DDS, MS (PRESIDENT)
(313) 565-0880
Entity
Organization
Contact information
Practice address
2211 MONROE ST, DEARBORN, MI 48124-3007
(313) 565-0880
(313) 565-2305
Mailing address
2211 MONROE ST, DEARBORN, MI 48124-3007
(313) 565-0880
(313) 565-2305
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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