Individual
DR. DANIEL KONISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.D.
Contact information
Practice address
135 W JOHNSON ST, PALATINE, IL 60067-6182
(847) 358-1957
Mailing address
135 W JOHNSON ST, PALATINE, IL 60067-6182
(847) 358-1957
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.001740
IL
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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