Organization
LAKE COUNTY SMILE DOCTORS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DANIELEWICZ DDS (DENTIST)
(847) 816-3949
Entity
Organization
Contact information
Practice address
740 FLORSHEIM DR, SUITE 13, LIBERTYVILLE, IL 60048-3712
(847) 816-3949
Mailing address
740 FLORSHEIM DR, SUITE 13, LIBERTYVILLE, IL 60048-3712
(847) 816-3949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023664
IL
Other
Enumeration date
10/06/2013
Last updated
10/06/2013
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