Individual
DR. DANIEL RYAN PENNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.D.
Contact information
Practice address
502 N LAKE DR, LEXINGTON, SC 29072-2806
(803) 359-4480
Mailing address
502 N LAKE DR, LEXINGTON, SC 29072-2806
(803) 359-4480
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4641
SC
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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