Organization
GREGORY V. SIERMINSKI, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY VALENTINE SIERMINSKI D.D.S (DENTIST)
(815) 728-0100
Entity
Organization
Contact information
Practice address
7442 HANCOCK DRIVE, CRYSTAL LAKE, IL 60097
(815) 728-0100
(815) 728-0114
Mailing address
P.O. BOX 388, WONDER LAKE, IL 60097
(815) 728-0100
(815) 728-0114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003734
—
IL
05
—
101265
—
IL
Enumeration date
03/14/2008
Last updated
03/14/2008
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