Individual
DR. KELLY M DAINIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
24600 S TAMIAMI TRL, STE 206, BONITA SPRINGS, FL 34134-7022
(239) 949-8302
(239) 949-8374
Mailing address
24600 S TAMIAMI TRL, STE 206, BONITA SPRINGS, FL 34134-7022
(239) 949-8302
(239) 949-8374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15549
FL
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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