Individual
DR. GENRIKH GANDELSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3065 FALLING WATERS BLVD, LINDENHURST, IL 60046-6793
(224) 643-4381
Mailing address
3065 FALLING WATERS BLVD, LINDENHURST, IL 60046-6793
(224) 643-4381
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021001887
IL
Other
Enumeration date
01/24/2011
Last updated
08/14/2013
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