Individual
SIDRA IRFAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
39883 FORD RD, CANTON, MI 48187-4319
(734) 456-3155
Mailing address
1966 E 82ND ST, CLEVELAND, OH 44103-4238
(607) 857-7708
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601104
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2020
Last updated
07/31/2021
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