Individual
DR. YASIR SIDDIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2675 E CUMBERLAND ST, PHILADELPHIA, PA 19125-3727
(215) 426-7307
Mailing address
2675 E CUMBERLAND ST, PHILADELPHIA, PA 19125-3727
(215) 426-7307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15297
MD
122300000X
Dentist
Primary
DS040284
PA
Other
Enumeration date
03/24/2013
Last updated
09/10/2015
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