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
Health care specialties
| Specialty | Code | License # | 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 15 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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