Organization
DOUGLAS S. DANIELS, D.M.D. INC.
Active
Other names
Daniels Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS STEVEN DANIELS D.M.D. (OWNER)
(562) 694-3660
Entity
Organization
Contact information
Practice address
640 E WHITTIER BLVD, LA HABRA, CA 90631-3929
(562) 694-3660
(562) 690-6181
Mailing address
640 E WHITTIER BLVD, LA HABRA, CA 90631-3929
(562) 694-3660
(562) 690-6181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36352
CA
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
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