Provider Demographics
NPI:1114158292
Name:LABIB- SOLIMAN, MARIAM KAMEL (DMD)
Entity Type:Individual
Prefix:
First Name:MARIAM
Middle Name:KAMEL
Last Name:LABIB- SOLIMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:MARIAM
Other - Middle Name:
Other - Last Name:LABIB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1900 HAMILTON ST UNIT D10
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-4075
Mailing Address - Country:US
Mailing Address - Phone:612-481-7470
Mailing Address - Fax:
Practice Address - Street 1:2036 FOULK RD STE 203
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-3650
Practice Address - Country:US
Practice Address - Phone:302-475-3803
Practice Address - Fax:302-475-3403
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0374621223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics