BRENT DANIELSON, DDS
Dentist - General Practice
Active
Individual
NPI: 1174848576
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 019-015421 (IL) |
Frequently Asked Questions
NPI 1174848576 is the National Provider Identifier for BRENT DANIELSON, DDS, a Dentist - General Practice provider located in La Grange, IL. This NPI was enumerated on March 29, 2010.
BRENT DANIELSON, DDS practices at 1400 W 47TH ST, La Grange, IL 60525.
Quick Facts
- NPI
- 1174848576
- Type
- Individual
- Enumerated
- Mar 29, 2010
- Last Updated
- Mar 29, 2010
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