Danielson, Brent

Danielson, Brent is an sole proprietor health care provider with primary practice located at 1400 W 47Th St , La Grange IL 60525-6141. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Danielson, Brent can be contacted via phone (708) 482-4420.

Contact Information

Primary practice address
1400 W 47Th St La Grange IL 60525-6141
Phone: (708) 482-4420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-015421 Illinois

Profile Details

NPI number 1174848576
LBN Legal business name Danielson, Brent
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2010
Last updated Mar 29th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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