Individual
DR. KATIE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8960 SPRINGBROOK DR NW STE 150, COON RAPIDS, MN 55433-5809
(763) 784-7570
Mailing address
8960 SPRINGBROOK DR NW STE 150, COON RAPIDS, MN 55433-5809
(651) 231-9883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12824
MN
Other
Enumeration date
06/09/2010
Last updated
10/11/2011
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