Individual
DANIEL WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
4955 S NATIONAL AVE, SPRINGFIELD, MO 65810-2989
(417) 866-1010
Mailing address
107 JACOLET LN NW, BAINBRIDGE ISLAND, WA 98110-2744
(206) 842-9890
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2011016313
MO
Other
Enumeration date
12/05/2014
Last updated
06/12/2016
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