Individual
DR. FATIMA NOORAIN SIRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
610 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 371-2343
(580) 371-3614
Mailing address
610 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 371-2343
(580) 371-3614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8147
OK
1223G0001X
General Practice Dentistry
Primary
019.030214
IL
Other
Enumeration date
07/09/2015
Last updated
04/13/2026
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