Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8240 | NC |
NPI | 1033129408 |
---|---|
Provider Name | Dr. Daniel John Mahar |
First Address | Holly Springs, NC 27540 |
Second Address | Fuquay Varina, NC 27526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 08/12/2015 |