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Individual

DR. STEVEN SAMUEL DANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-019108
IL
1223G0001X
General Practice Dentistry
019.019108
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1659346831
USN
IL
Enumeration date
02/21/2006
Last updated
02/10/2020
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