Individual
DR. AMMAR SIDDIQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 CREEK RD STE 280, IRVINE, CA 92604-7700
(949) 385-6814
Mailing address
33 CREEK RD STE 280, IRVINE, CA 92604-7700
(949) 385-6814
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6556
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS101217
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NV
Other
Enumeration date
08/11/2014
Last updated
09/09/2019
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