DR. Charles J Greenebaum, DDS

NPI #1740341973 in Flossmoor, Illinois

Provider Information

NPI Number
1740341973
Entity Type
Individual
Name
DR. Charles J Greenebaum, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Dec 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
19615 GOVERNORS HWY
ZIP Code
60422-2037
Phone
(708) 647-6453

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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