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NPI Code Detail

MEDICARE: DR. MARAH DAHMAN DDS

MEDICARE:  DR. MARAH  DAHMAN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN 17418FL

General Provider Information

NPI Number : 1558350231
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARAH DAHMAN DDS
Provider Business Mailing Address
First Line : 10557 CORY LAKE DR
Second Line :
City : TAMPA
State : FL
Zip : 33647-2711
Country : US
Telephone Number : 716-479-6666
Fax Number :
Provider Business Practice Location Address
First Line : 5348 BRUCE B DOWNS BLVD
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-8612
Country : US
Telephone Number : 716-479-6666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 02/09/2017

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