DR. Mumtaz Ahmed Siddique, D.D.S

NPI #1124120381 in Elgin, Illinois

Provider Information

NPI Number: 1124120381
Entity Type: Individual
Name: DR. Mumtaz Ahmed Siddique, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S
Enumeration Date: Sep 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 552 N MCLEAN BLVD
City: Elgin
State: Illinois
ZIP Code: 60123
Phone: (847) 931-9744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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