Provider Demographics
NPI:1306513023
Name:ZOYA'S OROFACIAL PAIN AND DENTAL SLEEP REMEDIES PLLC
Entity type:Organization
Organization Name:ZOYA'S OROFACIAL PAIN AND DENTAL SLEEP REMEDIES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:TAHIR
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:BDS, MS
Authorized Official - Phone:612-735-0950
Mailing Address - Street 1:18500 COUNTY ROAD 6
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-2531
Mailing Address - Country:US
Mailing Address - Phone:612-735-0950
Mailing Address - Fax:952-920-9749
Practice Address - Street 1:1405 LILAC LANE DRIVE NORTH
Practice Address - Street 2:SUITE 150 K
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-4536
Practice Address - Country:US
Practice Address - Phone:763-762-6549
Practice Address - Fax:763-762-6573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-30
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X2210XDental ProvidersDentistOrofacial PainGroup - Single Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty