Individual
JACQULYN DELAINE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
225 HENDERSON ST, GILMER, TX 75644-2355
(903) 680-2450
(903) 680-2452
Mailing address
225 HENDERSON ST, GILMER, TX 75644-2355
(903) 680-2450
(903) 680-2452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20820
TX
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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