Individual
DR. MARIAM HABIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
187 CHESTNUT ST, NUTLEY, NJ 07110-4320
(407) 937-9344
Mailing address
187 CHESTNUT ST, NUTLEY, NJ 07110-4320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02701800
NJ
122300000X
Dentist
DN20984
FL
Other
Enumeration date
06/23/2014
Last updated
06/24/2024
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