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Individual

DR. DANIEL LEE TREBUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2817 REILLY ROAD MCDS-NA-B, DEPARTMENT OF THE ARMY DENTAL ACTIVITY STOP B, FORT BRAGG, NC 28310-7302
(910) 396-5610
Mailing address
2817 REILLY ROAD MCDS-NA-B, DEPARTMENT OF THE ARMY DENTAL ACTIVITY STOP B, FORT BRAGG, NC 28310-7302
(910) 396-5610

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019024364
IL

Other

Enumeration date
05/09/2006
Last updated
06/10/2008
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