Individual
DR. EMIL MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16252 LAUREL DR STE 101, WESTON, FL 33326-1681
(972) 900-0051
Mailing address
16252 LAUREL DR STE 101, WESTON, FL 33326-1681
(972) 900-0052
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
37816
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M6252214784630
DRIVERS LICENSE
FL
Enumeration date
09/19/2021
Last updated
07/21/2022
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