Daniel Kuruvilla
Daniel Kuruvilla is a Student in an Organized Health Care Education/Training Program in Yulee, Florida. Works from 2 locations. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
463725 State Road 200 Ste 3Yulee, FL 32097-8671
Phone: (904) 584-9004
Fax: (904) 347-2611
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 196 Everest Ln Ste 1, Saint Johns, FL 32259-4103 — (904) 584-9004
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence DN26484 (FL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1902482003 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 20, 2021 |
| Last updated in NPPES | September 1, 2023 |
| Certification date | August 8, 2021 |
| Mailing address | 625 Elmwood Ave, Rochester, NY 14620-2913 |