Individual
MR. GEORGE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 RIVERFRONT DR APT 3I, DETROIT, MI 48226-4592
(313) 854-0049
Mailing address
200 RIVERFRONT DR APT 3I, DETROIT, MI 48226-4592
(313) 854-0049
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
1223D0001X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RMR04
—
MI
Enumeration date
09/11/2014
Last updated
09/11/2014
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