# C & N GRATHWOL DMD P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** G&G Pediatric Dentistry and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033953641
- **Authorized official:** DR. CORY ALAN GRATHWOL DMD (OWNER/PEDIATRIC DENTIST)
- **Authorized official phone:** (419) 357-1160

## Contact information

- **Practice address:** 1108 E OGDEN AVE, NAPERVILLE, IL 60563-8560
- **Practice address phone:** (630) 778-9500
- **Mailing address:** 1980 CLOVER DR, INVERNESS, IL 60067-4642
- **Mailing address phone:** (419) 357-1160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 06/20/2024
- **Last updated:** 06/20/2024