Organization
DANIEL DAFO,DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DAFO DDS (PRACTICE OWNER)
(304) 295-8256
Entity
Organization
Contact information
Practice address
1500 GRAND CENTRAL AVE, SUITE 104, VIENNA, WV 26105-1079
(304) 295-8256
(304) 295-8261
Mailing address
1500 GRAND CENTRAL AVE, SUITE 104, VIENNA, WV 26105-1079
(304) 295-8256
(304) 295-8261
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4038
WV
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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