DR. Mark E Daniels, DMD

NPI #1467560136 in Medford, New York

Provider Information

NPI Number
1467560136
Entity Type
Individual
Name
DR. Mark E Daniels, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Aug 25, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
BLDG 6 3237 ROUTE 112
Address 2
SUITE 7B
ZIP Code
11763-1424
Phone
(631) 698-1140

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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