FARASHTA SEDIQZAD

GREEN BAY, WI
NPI1841681525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CO  00201953)
Enumeration Date2015-02-17
Last Update Date2015-02-17
Business Address
-- FARASHTA SEDIQZAD DDS
430 MAIN ST
GREEN BAY, WI 54301-5115
Phone number: 920-431-1702
Mailing Address
-- FARASHTA SEDIQZAD DDS
430 MAIN ST
GREEN BAY, WI 54301-5115
Phone number: 920-431-1702
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