Individual
DR. MAMNOON AHMED SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
22190 GARRISON ST, SUITE 101, DEARBORN, MI 48124-2260
(313) 565-0880
(313) 565-2305
Mailing address
4652 TIMBERLINE DR, CANTON, MI 48188-2211
(734) 495-3120
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901017765
MI
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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