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1144846759
SETH THOMAS DANIELS
GENESEO, IL
NPI
1144846759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.032690)
Enumeration Date
2020-06-19
Last Update Date
2020-06-19
Business Address
Dr. SETH THOMAS DANIELS DMD
216 S CENTER ST
GENESEO, IL 61254-1402
Phone number: 309-502-9404
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Mailing Address
Dr. SETH THOMAS DANIELS DMD
216 S CENTER ST
GENESEO, IL 61254-1402
Phone number: 309-944-6125
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