Organization
ORTHODONTICS CENTER OF NOVI, PC
Active
Other names
Siddiqui Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAMNOON SIDDIQUI (PRESIDENT)
(313) 565-0880
Entity
Organization
Contact information
Practice address
27250 WIXOM RD STE B, NOVI, MI 48374-1116
(313) 565-0880
Mailing address
2211 MONROE ST, DEARBORN, MI 48124-3007
(313) 565-0880
(313) 565-2305
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336225713
—
MI
Enumeration date
06/12/2019
Last updated
06/12/2019
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