Organization
BRENT L. MCDANIEL DDS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT L MCDANIEL D.D.S. (OWNER)
(606) 783-0182
Entity
Organization
Contact information
Practice address
163 E MAIN ST, MOREHEAD, KY 40351-1651
(606) 783-0182
Mailing address
750 W MAIN ST, MOREHEAD, KY 40351-1444
(606) 783-0182
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8321
KY
Other
Enumeration date
05/15/2007
Last updated
08/17/2009
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