Individual
DR. LISA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
14203 VILLAGE MANOR CT, UPPER MARLBORO, MD 20774-8581
(786) 547-1103
Mailing address
14203 VILLAGE MANOR CT, UPPER MARLBORO, MD 20774-8581
(786) 547-1103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1001492
DC
Other
Enumeration date
07/22/2014
Last updated
02/12/2016
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