Provider Demographics
NPI:1679814180
Name:TREMMEL, LIANA ERNA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LIANA
Middle Name:ERNA
Last Name:TREMMEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LIANA
Other - Middle Name:ERNA
Other - Last Name:KANIJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1332 W NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-1855
Mailing Address - Country:US
Mailing Address - Phone:847-776-8700
Mailing Address - Fax:847-776-0539
Practice Address - Street 1:1332 W NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067
Practice Address - Country:US
Practice Address - Phone:847-776-8700
Practice Address - Fax:847-776-0539
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.029314122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist