Individual
ASAD AFTAB SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
955 N WESLEYAN BLVD, ROCKY MOUNT, NC 27804-1786
(252) 316-3138
Mailing address
955 N WESLEYAN BLVD, ROCKY MOUNT, NC 27804-1786
(252) 316-3138
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
RES.004467
OH
1223G0001X
General Practice Dentistry
Primary
13415
NC
1223G0001X
General Practice Dentistry
RES.004467
OH
Other
Enumeration date
05/31/2022
Last updated
08/03/2023
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