Organization
DRS. MELLOVITZ & GRUMET DENTAL ASSOCIATES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LYNN COSTANTINI (OFFICE MANAGER)
(847) 433-9350
Entity
Organization
Contact information
Practice address
1893 SHERIDAN RD STE 318, HIGHLAND PARK, IL 60035-2646
(847) 433-9350
Mailing address
1893 SHERIDAN RD STE 318, HIGHLAND PARK, IL 60035-2646
(847) 433-9350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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