| C & N Grathwol Dmd P.c. | |
|
1108 E Ogden Ave Naperville IL 60563-8560 | |
| (630) 778-9500 | |
| Not Available |
| Full Name | C & N Grathwol Dmd P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1108 E Ogden Ave, Naperville, Illinois |
| Authorized Official Name and Position | Cory Alan Grathwol (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 4193571160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C & N Grathwol Dmd P.c. 1980 Clover Dr Inverness IL 60067-4642 Ph: (419) 357-1160 | C & N Grathwol Dmd P.c. 1108 E Ogden Ave Naperville IL 60563-8560 Ph: (630) 778-9500 |
| NPI Number | 1033953641 |
|---|---|
| Provider Enumeration Date | 06/20/2024 |
| Last Update Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033953641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
Ogden Valley Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 W Ogden Ave, Naperville, IL 60563 Phone: 630-305-6161 Fax: 630-701-1966 | |
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