Individual
MRS. DANIELLE DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRDH, MHS
Contact information
Practice address
1017 ELYSIUM BLVD, MOUNT DORA, FL 32757-7065
(352) 552-1439
Mailing address
1017 ELYSIUM BLVD, MOUNT DORA, FL 32757-7065
(352) 552-1439
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH11132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124Q00000X
—
FL
Enumeration date
09/15/2016
Last updated
09/15/2016
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