Individual
DR. JONATHAN DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
627 COLLEGE HWY, SOUTHWICK, MA 01077-9828
(413) 569-3170
Mailing address
627 COLLEGE HWY, SOUTHWICK, MA 01077-9828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857573
MA
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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