Luis Granados Dds Pc | |
1660 Glen Ellyn Rd Glendale Heights IL 60139-2504 | |
(630) 474-0976 | |
Not Available |
Full Name | Luis Granados Dds Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1660 Glen Ellyn Rd, Glendale Heights, Illinois |
Authorized Official Name and Position | Luis Granados Paucar (PRESIDENT) |
Authorized Official Contact | 8603578486 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Luis Granados Dds Pc 8987 Hillcrest Ct Woodridge IL 60517-7613 Ph: (860) 357-8486 | Luis Granados Dds Pc 1660 Glen Ellyn Rd Glendale Heights IL 60139-2504 Ph: (630) 474-0976 |
NPI Number | 1205526035 |
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Provider Enumeration Date | 05/15/2023 |
Last Update Date | 05/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205526035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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