Individual
MARYAM TUNIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5623 N GREEN BAY AVE, GLENDALE, WI 53209-4406
(414) 228-3000
Mailing address
5623 N GREEN BAY AVE, GLENDALE, WI 53209-4406
(414) 202-0731
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001072-15
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114646072
NPI
—
Enumeration date
08/24/2022
Last updated
10/08/2023
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