Individual
DR. ERIC GRAY DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
5000 S 5TH AVE, HINES, IL 60141-3030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033825
IL
1223G0001X
General Practice Dentistry
2901601145
MI
Other
Enumeration date
03/24/2021
Last updated
07/07/2022
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