DR. Jason Michael Grinter, DDS

NPI #1255401899 in Rockford, Illinois

Provider Information

NPI Number: 1255401899
Entity Type: Individual
Name: DR. Jason Michael Grinter, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 9, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 275 N PHELPS AVE
City: Rockford
State: Illinois
ZIP Code: 61108-2434
Phone: (815) 484-8678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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