Individual
DIANE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
820 E 49TH ST, BROOKLYN, NY 11203-5814
(917) 337-5203
Mailing address
820 E 49TH ST, BROOKLYN, NY 11203-5814
(917) 337-5203
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
031880
NY
Other
Enumeration date
09/22/2022
Last updated
10/28/2022
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