Individual
SUBUHI SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
412 NORTHSIDE DR E, STATESBORO, GA 30458-4802
(912) 225-0777
Mailing address
1881 SS RAILROAD BED RD APT 903, STATESBORO, GA 30461-8614
(213) 263-1777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123924
GA
Other
Enumeration date
07/21/2025
Last updated
08/12/2025
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