Individual
DR. DANIEL J FORNATTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
917 S YORK RD, ELMHURST, IL 60126-5114
(630) 833-8088
(630) 833-0112
Mailing address
917 S YORK RD, ELMHURST, IL 60126-5114
(630) 833-8088
(630) 833-0112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019022640
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-4091746
TAX IDENTIFICATION NUMBER
IL
Enumeration date
04/10/2006
Last updated
08/28/2007
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