Individual
MARYAM OTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7905 INDIANAPOLIS BLVD, HAMMOND, IN 46324-3348
(219) 364-6388
Mailing address
13240 BAYWOOD LN, 13240 BAYWOOD LN, HOMER GLEN, IL 60491-5990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12015087A
IN
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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