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