Mariam Bawany, DMD

NPI #1992290456 in Peoria, Illinois

Provider Information

NPI Number: 1992290456
Entity Type: Individual
Name: Mariam Bawany, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 27, 2018
Last Updated: Jun 27, 2018

Practice Location

Address: 320 E ARMSTRONG AVE
City: Peoria
State: Illinois
ZIP Code: 61603-3172
Phone: (309) 624-2411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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