Individual
DR. CHADWICK J MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
105 HOLLYWOOD BLVD NE, FORT WALTON BEACH, FL 32548-4922
(850) 269-7550
(850) 362-6942
Mailing address
105 HOLLYWOOD BLVD NE, FORT WALTON BEACH, FL 32548-4922
(850) 269-7550
(850) 362-6942
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN14892
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
ME93516
FL
Other
Enumeration date
09/08/2006
Last updated
01/26/2022
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