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Individual

DR. JULIE S. DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
201 N 6TH AVE, ELDRIDGE, IA 52748-1759
(563) 285-8662
(563) 285-1337
Mailing address
201 N 6TH AVE, ELDRIDGE, IA 52748-1759
(563) 285-8662
(563) 285-1337

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07238
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0056093
IA
01
063569
UNITED CONCORDIA
IA
01
27333
WELLMARK BC/BS
IA
Enumeration date
07/21/2006
Last updated
05/16/2008
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