Individual
DR. MARC DADKHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10002 GULF CENTER DR STE 110, FORT MYERS, FL 33913-8961
(239) 688-2780
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN23102
FL
1223G0001X
General Practice Dentistry
DN23102
FL
Other
Enumeration date
06/21/2017
Last updated
09/28/2023
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