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Individual

LISA ANN DANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(269) 615-8425
Mailing address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(269) 615-8425

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
0402204109
VA
124Q00000X
Dental Hygienist
Primary
2902008683
MI

Other

Enumeration date
11/25/2008
Last updated
01/25/2017
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