Organization
BRIAN P DANIELEWICZ DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN P DANIELEWICZ DDS (QWNER)
(847) 816-3377
Entity
Organization
Contact information
Practice address
740 FLORSHEIM DR, SUITE 12, LIBERTYVILLE, IL 60048-3712
(847) 816-3377
(847) 816-3858
Mailing address
740 FLORSHEIM DR, SUITE 12, LIBERTYVILLE, IL 60048-3712
(847) 816-3377
(847) 816-3858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023664
IL
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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