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Individual
JENNIFER T DANIEL
Active
Individual
JENNIFER T DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4013
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068952
—
OH
05
—
3810023810
—
WV
05
—
7100208310
—
KY
Enumeration date
06/17/2009
Last updated
06/22/2015
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