Individual
DR. JASON MICHAEL GRINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
275 N PHELPS AVE, ROCKFORD, IL 61108-2434
(815) 484-8678
Mailing address
4316 N CLARENDON AVE, #1611, CHICAGO, IL 60613-1562
(773) 369-5428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/09/2006
Last updated
07/09/2007
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