Individual
DANENE ALISA OCCEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2565 ENTERPRISE RD STE 100, ORANGE CITY, FL 32763-8016
(386) 456-9101
(386) 218-5929
Mailing address
2565 ENTERPRISE RD STE 100, ORANGE CITY, FL 32763-8016
(386) 456-9101
(386) 218-5929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN22822
FL
1223G0001X
General Practice Dentistry
Primary
DN22822
FL
Other
Enumeration date
02/26/2016
Last updated
04/24/2025
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