Individual
DR. HEIDI LEIGH DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
127 W MACON LN, SEYMOUR, TN 37865-4776
(907) 830-7202
Mailing address
127 W MACON LN, SEYMOUR, TN 37865-4776
(907) 830-7202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1504
AK
122300000X
Dentist
Primary
9535
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2008
Last updated
01/04/2017
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