Bawany, Mariam

Bawany, Mariam is an individual health care provider with primary practice located at 320 E Armstrong Ave , Peoria IL 61603-3172. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Bawany, Mariam can be contacted via phone (309) 624-2411.

Contact Information

Primary practice address
320 E Armstrong Ave Peoria IL 61603-3172
Phone: (309) 624-2411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.031633 Illinois

Profile Details

NPI number 1992290456
LBN Legal business name Bawany, Mariam
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2018
Last updated Jun 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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