Organization
JET DENTAL OF ILLINOIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DANIELEWICZ DDS (OWNER)
(972) 369-2684
Entity
Organization
Contact information
Practice address
11825 N KNOXVILLE AVE STE 1A, DUNLAP, IL 61525-8842
(972) 369-2684
Mailing address
3451 N TRIUMPH BLVD STE G50, LEHI, UT 84043-6108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
05/02/2025
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