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Contact Information

DANIEL M DOMAGALA, D.D.S., M.S.
3208 N. MAJOR AVENUE
CHICAGO, IL60634
 Phone: 773-777-1111
 Fax: 773-777-0730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for DANIEL M DOMAGALA · (Male)

NPI # 1497993026
Status Active
Credentials D.D.S., M.S.
Entity Individual
Enumeration date 02/04/2009
Last updated 09/13/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019.027866
  • IL License # 019027866
  • WI License # 6468115
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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