Granados Paucar, Luis Gregorio

Granados Paucar, Luis Gregorio is an individual health care provider with primary practice located at 1660 Glen Ellyn Rd , Glendale Heights IL 60139-2504. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Granados Paucar, Luis Gregorio can be contacted via phone (630) 474-0976.

Contact Information

Primary practice address
1660 Glen Ellyn Rd Glendale Heights IL 60139-2504
Phone: (630) 474-0976
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019032351 Illinois

Profile Details

NPI number 1063948222
LBN Legal business name Granados Paucar, Luis Gregorio
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2017
Last updated May 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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