| Daniel L. Jaconetti Dds Ltd | |
|
7601 W Montrose Ave Suite 3 Norridge IL 60706-1000 | |
| (708) 453-8700 | |
| (708) 453-1564 |
| Full Name | Daniel L. Jaconetti Dds Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7601 W Montrose Ave, Norridge, Illinois |
| Authorized Official Name and Position | Daniel Louis Jaconetti (PRESIDENT) |
| Authorized Official Contact | 7084538700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel L. Jaconetti Dds Ltd 7601 W Montrose Ave Suite 3 Norridge IL 60706-1000 Ph: (708) 453-8700 | Daniel L. Jaconetti Dds Ltd 7601 W Montrose Ave Suite 3 Norridge IL 60706-1000 Ph: (708) 453-8700 |
| NPI Number | 1902953540 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 09/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902953540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-018380 (Illinois) | Primary |
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