Individual
DR. LYNNA JANTRA GRIPENTROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
911 N ELM ST STE 228, HINSDALE, IL 60521
(630) 504-2223
Mailing address
2550 W FULLERTON AVE UNIT 3C, CHICAGO, IL 60647-2432
(224) 522-5146
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
018001832
IL
Other
Enumeration date
06/07/2012
Last updated
06/11/2018
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