Individual
MAHAM SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1201 I ST NW STE 110A, WASHINGTON, DC 20005-6004
(908) 255-6151
Mailing address
1201 I ST NW STE 110A, WASHINGTON, DC 20005-6004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1002118
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/12/2017
Last updated
10/07/2020
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