Individual
SAMUEL DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS PLLC
Contact information
Practice address
305 W MAIN ST, BRIGHTON, MI 48116-1525
(810) 229-2776
(810) 229-8080
Mailing address
305 W MAIN ST, BRIGHTON, MI 48116-1525
(810) 229-2776
(810) 229-8080
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
014293
MI
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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