Individual
DANIEL G. VISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2661 W STEPHENSON ST, FREEPORT, IL 61032-4502
(815) 233-1215
(815) 801-7652
Mailing address
644 N QUAIL DR, LENA, IL 61048-9272
(815) 369-9010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-018572
IL
Other
Enumeration date
03/28/2007
Last updated
03/28/2013
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