Individual
DANIELLE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
314 ESSEX ST, LAWRENCE, MA 01840-1411
(978) 327-5151
Mailing address
314 ESSEX ST, LAWRENCE, MA 01840-1411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855169
MA
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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