Organization
DANIEL J FORNATTO D D S P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J FORNATTO D.D.S. (PRESIDENT)
(630) 833-8088
Entity
Organization
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
Enumeration date
08/28/2007
Last updated
05/03/2012
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