Individual
DR. DANIEL REEVE DASTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
8422 E SHEA BLVD, STE 104, SCOTTSDALE, AZ 85260-6661
(480) 315-1044
Mailing address
3525 E AMBER LN, GILBERT, AZ 85296-1840
(480) 274-5325
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008985
AZ
Other
Enumeration date
07/01/2014
Last updated
10/19/2016
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