Individual
FATIMA DHANANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7301 MERRILL RD, JACKSONVILLE, FL 32277-3726
(954) 465-5114
Mailing address
45 STUART ST APT 1004, BOSTON, MA 02116-4747
(678) 665-6001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1858408
MA
122300000X
Dentist
Primary
DN25462
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/04/2019
Last updated
06/14/2024
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