Individual
SEBASTIAN GRACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1600 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2407
(847) 345-7361
Mailing address
804 SYLVIAWOOD AVE, PARK RIDGE, IL 60068-2250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032604
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021.003333
IL
Other
Enumeration date
04/13/2020
Last updated
07/29/2024
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