DR. Daniel Mark Homuth, DDS

NPI #1124179601 in Itasca, Illinois

Provider Information

NPI Number
1124179601
Entity Type
Individual
Name
DR. Daniel Mark Homuth, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jan 13, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
433 W IRVING PARK RD
City
Itasca
ZIP Code
60143-2039
Phone
(630) 773-1399

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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