# DOUGLAS S. DANIELS, D.M.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Daniels Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053671131
- **Authorized official:** DR. DOUGLAS STEVEN DANIELS D.M.D. (OWNER)
- **Authorized official phone:** (562) 694-3660

## Contact information

- **Practice address:** 640 E WHITTIER BLVD, LA HABRA, CA 90631-3929
- **Practice address phone:** (562) 694-3660
- **Practice address fax:** (562) 690-6181
- **Mailing address:** 640 E WHITTIER BLVD, LA HABRA, CA 90631-3929
- **Mailing address phone:** (562) 694-3660
- **Mailing address fax:** (562) 690-6181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 36352 | CA | Yes |
| 1223E0200X | Endodontics | 54935 | CA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 53060 | CA | — |
| 126800000X | Dental Assistant | 42096 | CA | — |
| 126800000X | Dental Assistant | 69076 | CA | — |

## Other

- **Enumeration date:** 05/22/2012
- **Last updated:** 05/22/2012