Organization
LUIS GRANADOS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS GRANADOS PAUCAR DDS (PRESIDENT)
(630) 474-0976
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
04/10/2025
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