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Individual

DR. DANIEL WALE BELAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-8408
Mailing address
2020 J ST, SACRAMENTO, CA 95811-3120

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
104415
CA
122300000X
Dentist
Primary
12013890A
IN
122300000X
Dentist
30.026615
OH

Other

Enumeration date
10/23/2019
Last updated
08/01/2022
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