Individual
FATIMA SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
28350 GRATIOT AVE, STE. B, ROSEVILLE, MI 48066-4208
(586) 772-7800
Mailing address
23800 ORCHARD LAKE RD, STE. 106, FARMINGTON HILLS, MI 48336-2560
(248) 755-5700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020920
MI
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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