Individual
DANIEL CHUDLEIGH DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
135 SEA TRAIL DR, MOORESVILLE, NC 28117-8493
(801) 722-4098
Mailing address
135 SEA TRAIL DR, MOORESVILLE, NC 28117-8493
(801) 722-4098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13392
NC
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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