Provider Demographics
NPI:1396796082
Name:DONG, DAISY (L AC CMD)
Entity type:Individual
Prefix:
First Name:DAISY
Middle Name:
Last Name:DONG
Suffix:
Gender:F
Credentials:L AC CMD
Other - Prefix:
Other - First Name:Q. DAISY
Other - Middle Name:
Other - Last Name:DONG-CEDAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1325 S COLORADO BLVD
Mailing Address - Street 2:SUITE B-012
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3303
Mailing Address - Country:US
Mailing Address - Phone:303-949-8424
Mailing Address - Fax:
Practice Address - Street 1:1325 S COLORADO BLVD
Practice Address - Street 2:SUITE B-012
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3303
Practice Address - Country:US
Practice Address - Phone:303-949-8424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO566171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist