Individual
DR. MAMDOUH OMAR KACHLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS, FACP
Contact information
Practice address
2700 S TAMIAMI TRL STE 8, SARASOTA, FL 34239-4528
(941) 951-7711
Mailing address
13810 MESSINA LOOP UNIT 101, BRADENTON, FL 34211-2239
(267) 401-8885
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN29788
FL
1223P0700X
Prosthodontics
DS043096
PA
Other
Enumeration date
01/31/2023
Last updated
09/18/2025
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