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1720294374
JEROME S DANIEL
FORT DRUM, NY
NPI
1720294374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 039014-1)
Enumeration Date
2007-05-14
Last Update Date
2012-09-26
Business Address
Dr. JEROME S DANIEL DDS
10590 ENDURING FREEDOM DRIVE US ARMY DENTAL ACTIVITY
FORT DRUM, NY 13602-5005
Phone number: 315-772-6234
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Mailing Address
Dr. JEROME S DANIEL DDS
10590 ENDURING FREEDOM DRIVE US ARMY DENTAL ACTIVITY
FORT DRUM, NY 13602-5005
Phone number: 315-772-6234
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