Individual
DAN GERALD DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
938 E ROOSEVELT RD, WEST CHICAGO, IL 60185-3927
(630) 231-2442
(630) 231-8544
Mailing address
938 E ROOSEVELT RD, WEST CHICAGO, IL 60185-3927
(630) 231-2442
(630) 231-8544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019020284
IL
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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