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Individual
JANE MARIE DALY
Active
Individual
JANE MARIE DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9633
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
CS8803724
DC
Other
Enumeration date
12/14/2005
Last updated
07/18/2007
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