Individual
DR. SHOAIB SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1405 ANNE ST NW, BEMIDJI, MN 56601-5113
(218) 444-9646
(218) 444-9252
Mailing address
1405 ANNE ST NW, BEMIDJI, MN 56601-5113
(218) 308-7822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15370
MN
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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