Jason M Grinter DDS PC

NPI #1164753232 in Chicago, Illinois

Provider Information

NPI Number: 1164753232
Entity Type: Organization
Organization Name: Jason M Grinter DDS PC
Primary Specialty: Dentist
Enumeration Date: Jan 28, 2010
Last Updated: Jan 28, 2010

Practice Location

Address: 1550 W CORNELIA AVE
Address 2: #202
City: Chicago
State: Illinois
ZIP Code: 60657-2925
Phone: (773) 369-5428

Authorized Official

Name: DR. JASON M GRINTER, DDS
Title: PRESIDENT
Phone: (773) 369-5428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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