Individual
GRANT ANDERSON PIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12222 IL-47, HUNTLEY, IL 60142
(224) 654-6920
Mailing address
12222 IL-47, HUNTLEY, IL 60142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031665
IL
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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