Individual
DR. ROBERT W DANIELS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
111 N RAILROAD AVE, ESPANOLA, NM 87532-2627
(505) 753-7218
(505) 753-5815
Mailing address
STATE ROAD 75 - HOUSE #15136, P.O. BOX 516, PENASCO, NM 87553
(505) 587-2809
(505) 587-1944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2634
NM
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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