Individual
DR. GEETHA DUDDANAHALLI SIDDANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 N UNIVERSITY AVE RM 2062, ANN ARBOR, MI 48109-1078
(734) 763-4864
(734) 763-3179
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 647-3722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019033021
IL
122300000X
Dentist
2952000342
MI
1223G0001X
General Practice Dentistry
Primary
019033021
IL
390200000X
Student in an Organized Health Care Education/Training Program
2952000342
MI
Other
Enumeration date
10/01/2019
Last updated
01/06/2026
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