Individual
DR. HOLDEN DANIELEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
740 FLORSHEIM DR STE 12, LIBERTYVILLE, IL 60048-3712
(847) 350-7718
Mailing address
740 FLORSHEIM DR STE 12, LIBERTYVILLE, IL 60048-3712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001000-15
WI
1223G0001X
General Practice Dentistry
019033747
IL
Other
Enumeration date
06/13/2022
Last updated
08/05/2024
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