Individual
DR. DANIEL J. DESALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
321 N. HILLSIDE AVE, HILLSIDE, IL 60162
(708) 449-6468
Mailing address
321 N. HILLSIDE AVE, HILLSIDE, IL 60162
(708) 449-6468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19A16251
IL
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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