Individual
PAUL RONALD DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 W THOMAS RD, SUITE 490, PHOENIX, AZ 85013-4224
(602) 265-8751
Mailing address
500 W THOMAS RD, SUITE 490, PHOENIX, AZ 85013-4224
(602) 265-8751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AZ1611
AZ
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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