Daniels, Dallas Mark

Daniels, Dallas Mark is an individual health care provider with primary practice located at 2930 11Th Ave , Evans CO 80620-1011. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Daniels, Dallas Mark can be contacted via phone (970) 353-9403.

Contact Information

Primary practice address
2930 11Th Ave Evans CO 80620-1011
Phone: (970) 353-9403
Fax: (970) 353-9906
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 905511 Colorado

Profile Details

NPI number 1891031043
LBN Legal business name Daniels, Dallas Mark
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2012
Last updated Dec 17th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891031043 NPPES
Colorado Other 905511 STATE LICENSE

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