Individual
DR. JASON RAYMOND MCDANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2850 LYNDHURST AVE, WINSTON SALEM, NC 27103-4110
(336) 768-1740
Mailing address
2850 LYNDHURST AVE, WINSTON SALEM, NC 27103-4110
(336) 768-1740
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12123
NC
Other
Enumeration date
05/22/2007
Last updated
07/01/2021
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