Individual
DR. DANIEL WALLACE BYTHEWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,P.C.
Contact information
Practice address
520 FRANKLIN AVE, SUITE L-19, GARDEN CITY, NY 11530-5806
(516) 248-2560
(516) 248-2590
Mailing address
520 FRANKLIN AVE, SUITE L-19, GARDEN CITY, NY 11530-5806
(516) 248-2560
(516) 248-2590
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
29915
NY
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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