Individual
MARYAM HESAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8744 W FAIRVIEW AVE, BOISE, ID 83704-8207
(208) 322-3010
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3251
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6O886
BLUE CROSS OF IDAHO
ID
05
—
804073000
—
ID
Enumeration date
09/24/2006
Last updated
12/28/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us