Daniel Thomas Streitz SR. DDS

NPI 1619131778 - Dentist - 1223G0001X

NPI Details
NPI 1619131778
Gender Male
Enumeration Date 07/17/2008
Last Updated 07/17/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1711 CAMPBELL ST
JOLIET IL, 60435-6709, US
Phone (815) 725-6868
Fax (815) 531-0120
Business Location
1711 CAMPBELL ST
JOLIET IL, 60435-6709, US
Phone (815) 725-6868
Fax (815) 531-0120
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 12859140
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According to our database, Daniel Thomas Streitz SR. DDS NPI is 1619131778, taxonomy code is 1223G0001X and license number is 12859140, license state is located at Illinois. Daniel Thomas Streitz SR. DDS physically located at 1711 Campbell St, Joliet IL, 60435-6709. NPI Number Daniel Thomas Streitz SR. DDS has the Individual type.

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1619131778 NPI number is provided on an as is basis without warranty of any kind. 1619131778 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Thomas Streitz SR. DDS are for informational purposes only.