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Individual
DANIEL M PITTMAN III
Active
Individual
DANIEL M PITTMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1223P0300X
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5430
STATE OF AL
AL
Enumeration date
06/18/2008
Last updated
06/18/2008
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