Individual
DR. AMIR SIADAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2103 W PATAPSCO AVE, BALTIMORE, MD 21230-2946
(410) 888-4000
Mailing address
2021 10TH AVE S APT 909, BIRMINGHAM, AL 35205-2739
(716) 275-6981
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
18009
MD
122300000X
Dentist
Primary
D.007275-C1
AL
Other
Enumeration date
06/05/2023
Last updated
02/16/2024
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