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Individual

MARYAM SINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2551 N GREEN VALLEY PKWY, BLDG A SUITE 400, HENDERSON, NV 89014-0272
(702) 458-6684
(702) 450-9498
Mailing address
2551 N GREEN VALLEY PKWY, BLDG A SUITE 400, HENDERSON, NV 89014-0272
(702) 458-6684
(702) 450-9498

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
S6-21
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104879717
NV
Enumeration date
03/01/2012
Last updated
03/01/2012
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