Individual
JAMES WESLEY DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1408 CENTRAL AVE, ASHLAND, KY 41101-7552
(606) 325-2469
Mailing address
1408 CENTRAL AVE, ASHLAND, KY 41101-7552
(606) 325-2469
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10920
KY
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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