Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 22DI02345200 | NJ |
NPI | 1265620504 |
---|---|
Provider Name | Dr. Renie Daniel |
First Address | Chapel Hill, NC 27599-0001 |
Second Address | Chapel Hill, NC 27514-4220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2007 |
Last Update Date | 26/05/2020 |