Individual
GREGORY V SIERMINSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7442 HANCOCK DR, WONDER LAKE, IL 60097
(815) 728-0100
(815) 728-0114
Mailing address
7442 HANCOCK DR, WONDER LAKE, IL 60097
(815) 728-0100
(815) 728-0114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19015910
IL
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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