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Dr. Fahad Siddiqui
Pediatric Dentist in Detroit, Michigan
NPI 1104307651

Fahad Siddiqui is a Pediatric Dentist based in Rochester Hills, MI and is specialized in Pediatric Dentistry. Fahad Siddiqui practices in Detroit, MI. The NPI Number for Fahad Siddiqui is 1104307651 and holds a License No. 38097 (Michigan).

The current practice location address for Fahad Siddiqui is 2700 Martin Luther King Jr Blvd, Detroit, MI and can be reached out via phone at 313-494-6700.

Location: 2700 Martin Luther King Jr Blvd, Detroit, MI, 48307-4607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104307651
Provider Name
Fahad Siddiqui
Credential
Provider Entity Type
Individual
Gender
Male
Address
2700 Martin Luther King Jr Blvd, Detroit, MI, 48307-4607
Phone Number
313-494-6700
Fax Number
Provider Enumeration Date
08/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2700 Martin Luther King Jr Blvd
City
Detroit
State
Michigan
Zip
48208-2576
Phone Number
313-494-6700
Fax Number
person
Provider Business Mailing Address Details
Address
2700 Martin Luther King Jr Blvd
City
Detroit
State
Michigan
Zip
48208-2576
Phone Number
313-494-6700
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
38097 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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