Individual
DANIEL JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511
(757) 953-8547
Mailing address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511
(757) 953-8547
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7871
NC
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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