Provider Demographics
NPI:1942467535
Name:SHARIFF, MARYAM (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARYAM
Middle Name:
Last Name:SHARIFF
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 DAIRY ASHFORD RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-3023
Mailing Address - Country:US
Mailing Address - Phone:281-558-8888
Mailing Address - Fax:281-558-8362
Practice Address - Street 1:1201 DAIRY ASHFORD RD
Practice Address - Street 2:SUITE 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3023
Practice Address - Country:US
Practice Address - Phone:281-558-8888
Practice Address - Fax:281-558-8362
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI237461223G0001X
TX28232122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice