Siddiqui, Raza

Siddiqui, Raza is an individual health care provider with primary practice located at 4527 Forest Park Ave , Saint Louis MO 63108-2113. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Siddiqui, Raza can be contacted via phone (314) 858-5750.

Contact Information

Primary practice address
4527 Forest Park Ave Saint Louis MO 63108-2113

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1124598594 Missouri

Profile Details

NPI number 1497391627
LBN Legal business name Siddiqui, Raza
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2019
Last updated Nov 22nd, 2019 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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