JASON MICHAEL GRINTER

ROCKFORD, IL
NPI1255401899
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019026609)
Enumeration Date2006-11-09
Last Update Date2007-07-09
Business Address
Dr. JASON MICHAEL GRINTER DDS
275 N PHELPS AVE
ROCKFORD, IL 61108-2434
Phone number: 815-484-8678
Mailing Address
Dr. JASON MICHAEL GRINTER DDS
4316 N CLARENDON AVE #1611
CHICAGO, IL 60613-1562
Phone number: 773-369-5428