Individual
KAILA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2133 PEPPERRELL ST, JBSA LACKLAND, TX 78236-5313
(210) 292-0123
Mailing address
2133 PEPPERRELL ST, JBSA LACKLAND, TX 78236-5313
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41775
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2025
Last updated
07/11/2025
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