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1255190955
KRYSTLE GRANDBERRY DMD PLLC
CHICAGO, IL
NPI
1255190955
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Entity Type
Organization
Authorized Contact
KRYSTLE GRANDBERRY WIDEN
President, Owner
810-265-3237
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-03-15
Last Update Date
2024-03-15
Business Address
KRYSTLE GRANDBERRY DMD PLLC
2835 N SHEFFIELD AVE STE 305
CHICAGO, IL 60657-5084
Phone number: 810-265-3237
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Mailing Address
KRYSTLE GRANDBERRY DMD PLLC
2307 W MELROSE ST UNIT F
CHICAGO, IL 60618-6317
Phone number:
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