Fatima Naurose Siraj, D.M.D

NPI #1942683115 in Roanoke, Texas

Provider Information

NPI Number: 1942683115
Entity Type: Individual
Name: Fatima Naurose Siraj, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Jul 7, 2015
Last Updated: Dec 19, 2018

Practice Location

Address: 860 EAST HIGHWAY 114 IDEAL DENTAL
Address 2: SUITE 200
City: Roanoke
State: Texas
ZIP Code: 76262
Phone: (817) 491-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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Organizations

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