Individual
NINA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDA
Contact information
Practice address
FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(607) 591-0358
Mailing address
FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(607) 591-0358
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
165652
—
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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