Individual
MARIAM AZIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
270 ELMWOOD RD N, MARLTON, NJ 08053-2373
(856) 291-6888
Mailing address
74 LAFAYETTE MILLS RD, MANALAPAN, NJ 07726-2840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02850800
NJ
1223P0221X
Pediatric Dentistry
Primary
07120
NJ
Other
Enumeration date
05/06/2020
Last updated
03/19/2025
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