DR. Daniel T Moran, D.D.S.

NPI #1386869287 in Peru, Illinois

Provider Information

NPI Number
1386869287
Entity Type
Individual
Name
DR. Daniel T Moran, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Apr 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4105 FRONTAGE RD
City
Peru
ZIP Code
61354-1115
Phone
(815) 223-5839

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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