| Jason M Grinter Dds Pc | |
|
1550 W Cornelia Ave #202 Chicago IL 60657-2925 | |
| (773) 369-5428 | |
| Not Available |
| Full Name | Jason M Grinter Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1550 W Cornelia Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jason M Grinter (PRESIDENT) |
| Authorized Official Contact | 7733695428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason M Grinter Dds Pc 1550 W Cornelia Ave #202 Chicago IL 60657-2925 Ph: () - | Jason M Grinter Dds Pc 1550 W Cornelia Ave #202 Chicago IL 60657-2925 Ph: (773) 369-5428 |
| NPI Number | 1164753232 |
|---|---|
| Provider Enumeration Date | 01/28/2010 |
| Last Update Date | 01/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164753232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026609 (Illinois) | Primary |
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