Individual
DR. DANIEL M FIDANZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
0S200 WINFIELD RD, WINFIELD, IL 60190
(630) 690-1155
(630) 690-1196
Mailing address
0S200 WINFIELD RD, WINFIELD, IL 60190
(630) 690-1155
(630) 690-1196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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