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Individual

DR. PAMELA B DANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
7926 WRENWOOD BLVD, SUITE A, BATON ROUGE, LA 70809-1786
(225) 216-2252
(225) 216-2254
Mailing address
7926 WRENWOOD BLVD, SUITE A, BATON ROUGE, LA 70809-1786
(225) 216-2252
(225) 216-2254

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4385
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1843857
LA
01
C7130
BLUE CROSSBLUE SHIELD
LA
Enumeration date
05/07/2007
Last updated
07/08/2007
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