Individual
DR. DANIEL GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
811 W WELLINGTON AVE, CHICAGO, IL 60657-5123
(773) 871-1461
Mailing address
811 W WELLINGTON AVE, CHICAGO, IL 60657-5123
(312) 560-0939
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/01/2017
Last updated
07/01/2017
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