Provider Demographics
NPI:1023403912
Name:ALMARWAN, MARWAH (BDS)
Entity type:Individual
Prefix:
First Name:MARWAH
Middle Name:
Last Name:ALMARWAN
Suffix:
Gender:F
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 W LOMBARD ST
Mailing Address - Street 2:612
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1625
Mailing Address - Country:US
Mailing Address - Phone:443-985-6066
Mailing Address - Fax:
Practice Address - Street 1:410 W LOMBARD STREET
Practice Address - Street 2:612
Practice Address - City:BALTIOMRE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:443-985-6066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ12-R-D0035936122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No122300000XDental ProvidersDentist