Organization
GREGG L. PAINTER, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG L PAINTER DDS (PRESIDENT)
(815) 777-2338
Entity
Organization
Contact information
Practice address
202 SUMMIT ST, GALENA, IL 61036-1636
(815) 777-2338
(815) 777-2338
Mailing address
202 SUMMIT ST, GALENA, IL 61036-1636
(815) 777-2338
(815) 777-2338
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060010749
IL
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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