Individual
LISA ANN DANIEL
Active
Individual
LISA ANN DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
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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