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Individual

DR. JOHN PETER GRIGUS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
15127 S 73RD AVE STE H1, ORLAND PARK, IL 60462-3437
(708) 429-3515
(708) 429-3515
Mailing address
15127 S 73RD AVE STE H1, ORLAND PARK, IL 60462-3437
(708) 429-3515
(708) 429-3515

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.014741
IL

Other

Enumeration date
05/20/2008
Last updated
05/20/2008
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