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Individual

MARIAM GEORGE HABIB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2701 MEMORIAL BLVD, SPRINGFIELD, TN 37172-4238
(615) 384-2099
Mailing address
2917 RIVER BEND DR, NASHVILLE, TN 37214-1161

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11124
TN

Other

Enumeration date
03/11/2019
Last updated
10/10/2023
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