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Organization
SUBURBAN PERIODONTAL ASSOCIATES LIMITED
Active
Organization
SUBURBAN PERIODONTAL ASSOCIATES LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA D GRUENDEMAN DDS (PRESIDENT)
(630) 368-0605
Entity
Organization
Contact information
Practice address
120 OAKBROOK CENTER, SUITE 600, OAK BROOK, IL 60523
(630) 368-0605
(630) 368-9616
Mailing address
120 OAKBROOK CENTER, SUITE 600, OAK BROOK, IL 60523
(630) 368-0605
(630) 368-9616
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021601479
IL
Other
Enumeration date
03/23/2007
Last updated
11/10/2015
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