Individual
DR. DANIELLE BRIANA VASILIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
852 IL- 83, MUNDELEIN, IL 60060
(847) 566-2811
Mailing address
852 IL-83, MUNDELEIN, IL 60060
(847) 566-2811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019033680
IL
Other
Enumeration date
06/14/2022
Last updated
05/29/2026
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