Individual
MARYAM HAMDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
301 E BETHANY HOME RD STE A132, PHOENIX, AZ 85012-1276
(602) 900-1857
Mailing address
301 E BETHANY HOME RD STE A132, PHOENIX, AZ 85012-1276
(602) 900-1857
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858267
MA
1223G0001X
General Practice Dentistry
D010647
AZ
Other
Enumeration date
05/22/2019
Last updated
02/24/2021
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