Individual
DR. MARMAR MIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
515 JUNCTION RD, SUITE 2000, MADISON, WI 53717-2151
(608) 829-0101
(608) 829-0109
Mailing address
515 JUNCTION RD, SUITE 2000, MADISON, WI 53717-2151
(608) 829-0101
(608) 829-0109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4879-015
WI
1223G0001X
General Practice Dentistry
53677
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
392039101
FEDERAL TAX ID #
WI
Enumeration date
03/14/2007
Last updated
07/08/2007
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