Individual
JONATHAN A DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7070 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884-3214
(863) 259-4026
(863) 877-0627
Mailing address
600 TECHNOLOGY PARK STE 101, LAKE MARY, FL 32746-7122
(800) 786-1613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN27133
FL
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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