Individual
LUIS GREGORIO GRANADOS PAUCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1660 GLEN ELLYN RD, GLENDALE HEIGHTS, IL 60139-2504
(630) 474-0976
Mailing address
1660 GLEN ELLYN RD, GLENDALE HEIGHTS, IL 60139-2504
(630) 474-0976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019032351
IL
Other
Enumeration date
05/10/2017
Last updated
04/10/2025
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