Individual
DR. JOHN ANDERSON MCDANIEL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 822-7029
Mailing address
1464 TUSCAN DR, FUQUAY VARINA, NC 27526-5375
(919) 285-3101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8974
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2009
Last updated
06/24/2010
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