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Organization

DANIEL & MAX LLC

Active
Other names
Stanton Optical
Organization subpart
No

Provider details

NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING MANAGER)
(561) 612-4531
Entity
Organization

Contact information

Practice address
38 ROSSANLEY DR, MEDFORD, OR 97501
(541) 292-5550
(561) 828-8367
Mailing address
3801 S CONGRESS AVE, PALM SPRINGS, FL 33461-4140
(561) 275-2020
(561) 275-2030

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
07/11/2018
Last updated
02/18/2021
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