Individual
DR. M SHOAIB HAIDER SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MSD
Contact information
Practice address
ISSAQUAH MODERN DENTISTRY, 1416 HIGHLANDS DRIE NE, SUITE 120, ISSAQUAH, WA 98029
(425) 557-9000
Mailing address
3500 E LAKE SAMMAMISH PARKWAY SE, UNIT 2-105, SAMMAMISH, WA 98075
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DENT.DE.60936928
WA
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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