Brian P Danielewicz DDS Ltd
Dentist in Libertyville, IL. Organization (NPI-2).
NPI number1669800413
StatusActive
Last updated in NPPESOct 14, 2013
Details
- NPI
- 1669800413
- Entity type
- Organization (NPI-2)
- Legal business name
- Brian P Danielewicz DDS Ltd
- Organization subpart
- No
- Enumeration date
- Oct 14, 2013
- Last updated
- Oct 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019023664 | IL | Yes |
Practice location
740 Florsheim DrSuite 12
Libertyville, IL 60048-3712
Phone 847-816-3377 · Fax 847-816-3858
Mailing address
740 Florsheim DrSuite 12
Libertyville, IL 60048-3712
Phone 847-816-3377 · Fax 847-816-3858
Authorized official
Brian P Danielewicz
Qwner
8478163377
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