Individual
MADEEHA SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3687 LAS POSAS RD, CAMARILLO, CA 93010-1482
(805) 738-9500
Mailing address
2749 ROCKY POINT CT, THOUSAND OAKS, CA 91362-4943
(805) 807-9912
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
109975
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2022
Last updated
01/27/2025
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