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Zahir M Siddiqui

Dentist, General Practice in Janesville, WI. Individual provider (NPI-1).

NPI number1164034245
StatusActive
Last updated in NPPESAug 19, 2020

Details

NPI
1164034245
Entity type
Individual (NPI-1)
Name
Zahir M Siddiqui
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 19, 2020
Certification date
Aug 19, 2020
Last updated
Aug 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice1002409WIYes

Practice location

1260 Milton Ave Ste 140
Janesville, WI 53545-1890

Phone 888-988-4066

Mailing address

2050 E Algonquin Rd Ste 610
Schaumburg, IL 60173-4166

Phone 888-988-4066

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