Individual
DR. ERIC SAFRANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
(708) 216-3489
Mailing address
3801 GLENKERRY CT, STE 2, PORTAGE, MI 49024-0711
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901600429
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901600429
MI
Other
Enumeration date
05/11/2016
Last updated
09/20/2021
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