Individual
DR. DANIELLE BRIANA VASILIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-2833
Mailing address
3133 N WALKER LN W, ARLINGTON HEIGHTS, IL 60004-1651
(847) 962-5947
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019033680
IL
Other
Enumeration date
06/14/2022
Last updated
08/08/2023
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