Organization
GRAYSLAKE ORTHODONTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON FRISKE (MANAGER)
(847) 548-4330
Entity
Organization
Contact information
Practice address
160 COMMERCE DR, SUITE 101, GRAYSLAKE, IL 60030-1601
(847) 548-4330
(847) 548-4335
Mailing address
160 COMMERCE DR, SUITE 101, GRAYSLAKE, IL 60030-1601
(847) 548-4330
(847) 548-4335
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
03/23/2006
Last updated
08/22/2020
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