Individual
DR. TENESHIA E DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
5045 MEMORIAL PKWY NW, SUITE D, HUNTSVILLE, AL 35810-1077
(256) 469-6428
Mailing address
PO BOX 11201, HUNTSVILLE, AL 35814-1201
(256) 469-6428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5820 C1
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148088
—
AL
Enumeration date
07/15/2010
Last updated
11/08/2016
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