Individual
MARWA ELKHARSITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
Mailing address
6560 SAND LAKE SOUND RD UNIT 6320, ORLANDO, FL 32819-7654
(817) 307-7711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN00205015
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2020
Last updated
03/23/2022
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