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
Phone: (314) 858-5750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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