Individual
DR. WAYNE A. MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
916 5TH AVE NE, JAMESTOWN, ND 58401-3437
(701) 252-6752
Mailing address
3761 88TH AVE SE, JAMESTOWN, ND 58401-9766
(701) 252-0579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1483
ND
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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