Individual
DR. BENJAMIN RUSSELL DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2104B WOODRUFF RD, GREENVILLE, SC 29607-5941
(864) 254-6414
(864) 254-6454
Mailing address
2104B WOODRUFF RD, GREENVILLE, SC 29607-5941
(864) 254-6414
(864) 254-6454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3812
SC
Other
Enumeration date
12/13/2006
Last updated
04/05/2021
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