Organization
DANIEL A DOHNALEK DDS LTD
Active
Other names
Manus Dental Fox Lake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL A DOHNALEK DDS (OWNER)
(847) 587-5053
Entity
Organization
Contact information
Practice address
1394 S US HIGHWAY 12, FOX LAKE, IL 60020-1949
(847) 587-5053
Mailing address
1394 S US HIGHWAY 12, FOX LAKE, IL 60020-1949
(847) 587-5053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018679
IL
Other
Enumeration date
08/21/2006
Last updated
06/30/2008
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