Individual
MELANIE GRAJALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3927 W BELMONT AVE UNIT 105, CHICAGO, IL 60618-5170
(215) 350-6895
Mailing address
3927 W BELMONT AVE UNIT 105, CHICAGO, IL 60618-5170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032980
IL
Other
Enumeration date
06/29/2020
Last updated
10/02/2023
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