Individual
DR. DELORES MAE O'DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D., PLC
Contact information
Practice address
1064 BROOKS HILL ROAD, SUITE A, BROOKS, KY 40109-1063
(502) 955-1084
(502) 955-1442
Mailing address
1064 BROOKS HILL RD, SUITE A, BROOKS, KY 40109-5149
(502) 955-1084
(502) 955-1442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5608
KY
Other
Enumeration date
12/19/2006
Last updated
03/16/2015
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