| NPI | 1952892291 |
|---|---|
| Doing Business As | DANIELS MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KATIE L MCCANN LEE Owner/Dds 239-288-0537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2022-08-25 |