Individual
AFRIN AHMED SIDDIQUI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1160 MALL DR, SUITE B, LAS CRUCES, NM 88011-8128
(505) 532-1933
(505) 532-1936
Mailing address
1100 S MAIN ST, SUITE A, LAS CRUCES, NM 88005-2951
(505) 526-1105
(505) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2289
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23831332
—
NM
Enumeration date
10/04/2005
Last updated
07/08/2007
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