Provider Demographics
NPI:1235713108
Name:K. M DANIEL LLC
Entity Type:Organization
Organization Name:K. M DANIEL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KARIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:347-229-4802
Mailing Address - Street 1:21 SURREY DR
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-3211
Mailing Address - Country:US
Mailing Address - Phone:347-229-4802
Mailing Address - Fax:
Practice Address - Street 1:515 WEST AVE STE R
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-4057
Practice Address - Country:US
Practice Address - Phone:203-803-1645
Practice Address - Fax:203-803-1682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental