Individual
DR. BRIAN PATRICK DANIELEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
1223G0001X
General Practice Dentistry
Primary
019-023664
IL
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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