Dr. Dan Carl Davidsen, DDS
Dentist, General Practice in Warrenville, IL. Individual provider (NPI-1).
NPI number1235378019
StatusActive
Last updated in NPPESFeb 18, 2009
Details
- NPI
- 1235378019
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dan Carl Davidsen
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 18, 2009
- Last updated
- Feb 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019-01973-9 | IL | Yes |
Practice location
29w150 Butterfield RdWarrenville, IL 60555-2804
Phone 630-393-2120
Mailing address
29w150 Butterfield Rd.Warrenville, IL 60555
Phone 630-393-2120
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