Individual
DR. FAROOQ MUHAMMAD ISHTEEAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1619
Mailing address
PO BOX 95460, CLEVELAND, OH 44101-0033
(602) 581-6080
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS035644
PA
Other
Enumeration date
12/22/2005
Last updated
02/04/2024
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