JASON PATRICK GENTA

CHICAGO, IL
NPI1801151022
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.028939)
Enumeration Date2012-07-13
Last Update Date2012-07-13
Business Address
-- JASON PATRICK GENTA DDS
6749 N OSHKOSH AVE
CHICAGO, IL 60631-1162
Phone number: 773-631-5141
Mailing Address
-- JASON PATRICK GENTA DDS
1250 W VAN BUREN ST APT 707
CHICAGO, IL 60607-2820
Phone number: 217-273-5518