Individual
EMAN K OTTALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
200 N STAR AVE, PANAMA CITY, FL 32404-7615
(850) 871-6246
Mailing address
200 N STAR AVE, PANAMA CITY, FL 32404-7615
(850) 871-6246
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17558
FL
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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