Individual
DR. NEIL GRISETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA BDENTSC MS
Contact information
Practice address
1S224 SUMMIT AVE STE 311, OAKBROOK TERRACE, IL 60181-3944
(617) 432-1434
Mailing address
1S224 SUMMIT AVE STE 311, OAKBROOK TERRACE, IL 60181-3944
(210) 975-8349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019033962
IL
122300000X
Dentist
33827
TX
1223P0700X
Prosthodontics
Primary
021003230
IL
1223P0700X
Prosthodontics
DF11527
MA
Other
Enumeration date
07/18/2018
Last updated
03/24/2023
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