Individual
MARYAM BEYRAMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3019 N 35TH AVE, 109, PHOENIX, AZ 85017-5206
(602) 269-7797
(602) 269-2329
Mailing address
3019 N 35TH AVE, 109, PHOENIX, AZ 85017-5206
(602) 269-7797
(602) 269-2329
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018133
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020635027
TAX IDENTIFICATION NUMBER
MI
Enumeration date
08/05/2006
Last updated
04/21/2008
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