Individual
DR. WILLIAM D. MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
804 W MAIN ST, LAKE CITY, SC 29560-4400
(843) 374-2021
(843) 374-2030
Mailing address
804 W MAIN ST, LAKE CITY, SC 29560-4400
(843) 374-2021
(843) 374-2030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3558
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3558
—
SC
Enumeration date
10/11/2006
Last updated
01/16/2008
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