Organization
JASON M GRINTER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON M GRINTER DDS (PRESIDENT)
(773) 369-5428
Entity
Organization
Contact information
Practice address
1550 W CORNELIA AVE, #202, CHICAGO, IL 60657-2925
(773) 369-5428
Mailing address
1550 W CORNELIA AVE, #202, CHICAGO, IL 60657-2925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026609
IL
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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