Individual
DR. DARRYL DALE DANIEL I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
11 PROFESSIONAL DR, BRUNSWICK, GA 31520-3773
(912) 261-2999
(912) 261-8368
Mailing address
11 PROFESSIONAL DR, BRUNSWICK, GA 31520-3773
(912) 261-2999
(912) 261-8368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10949
GA
Other
Enumeration date
05/11/2007
Last updated
12/04/2009
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