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1386869287
DANIEL T MORAN
PERU, IL
NPI
1386869287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.016078)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Dr. DANIEL T MORAN D.D.S.
4105 FRONTAGE RD
PERU, IL 61354-1115
Phone number: 815-223-5839
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Mailing Address
Dr. DANIEL T MORAN D.D.S.
265 W CAROL AVE
CORTLAND, IL 60112-4107
Phone number: 815-787-8408
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