Individual
DR. DANIEL ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1462 S RANDALL RD, ALGONQUIN, IL 60102-5919
(708) 695-6680
Mailing address
5804 N MARMORA AVE, CHICAGO, IL 60646-6218
(773) 750-0351
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031283
IL
Other
Enumeration date
07/21/2017
Last updated
08/07/2017
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