Individual
DR. DANIEL LOUIS JACONETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7601 W MONTROSE AVE, SUITE 3, NORRIDGE, IL 60706-1000
(708) 453-8700
(708) 453-1564
Mailing address
7601 W MONTROSE AVE, SUITE 3, NORRIDGE, IL 60706-1000
(708) 453-8700
(708) 453-1564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-018380
IL
Other
Enumeration date
12/30/2006
Last updated
04/15/2014
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