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Brent Danielson, DDS
NPI 1174848576 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1400 W 47th St
La Grange, IL 60525 - Phone
- (708) 482-4420
- Organisation at this address
- Angela Lebessis Dds Pllc
Nancy Donna Cozzi, D.D.S.
Healthy Smiles Of La Grange, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois