Provider Demographics
NPI:1558186445
Name:MARYAM ASLAM DMD, P.C.
Entity type:Organization
Organization Name:MARYAM ASLAM DMD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLAM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:301-804-8653
Mailing Address - Street 1:7508 ZOE LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-6062
Mailing Address - Country:US
Mailing Address - Phone:301-804-8653
Mailing Address - Fax:
Practice Address - Street 1:8808 CENTRE PARK DR STE 210
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2221
Practice Address - Country:US
Practice Address - Phone:443-917-6555
Practice Address - Fax:443-917-6556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental