Individual
MR. MOHAMMAD HAIDER ISHTIAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 EAST 210 STREET BRONX, NEW YORK, BRONX, NY 10467
(718) 920-4321
Mailing address
111 EAST 210 STREET BRONX, NEW YORK, BRONX, NY 10467
(718) 920-4321
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064217
NY
Other
Enumeration date
05/30/2023
Last updated
04/17/2025
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