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Krystle Grandberry Widen, DMD
General Practice Dentistry in Oak Park, Illinois
NPI 1063942159

Krystle Grandberry Widen is a General Practice Dentistry based in Chicago, IL and is specialized in General Practice. Krystle Grandberry Widen practices in Oak Park, IL and has the professional credentials of DMD. The NPI Number for Krystle Grandberry Widen is 1063942159 and holds a License No. 019.033543 (Illinois).

The current practice location address for Krystle Grandberry Widen is 1113 Chicago Ave, Oak Park, IL and can be reached out via phone at 708-383-0500. You can also correspond with Krystle Grandberry Widen through the mailing address at 2307 W MELROSE ST, CHICAGO, IL - 60618-6317 (mailing address contact number: ).

Location: 1113 Chicago Ave, Oak Park, IL, 60618-6317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063942159
Provider Name
Krystle Grandberry Widen
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1113 Chicago Ave, Oak Park, IL, 60618-6317
Phone Number
708-383-0500
Fax Number
Provider Enumeration Date
06/12/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1113 Chicago Ave
City
Oak Park
State
Illinois
Zip
60302-1803
Phone Number
708-383-0500
Fax Number
person
Provider Business Mailing Address Details
Address
1113 Chicago Ave
City
Oak Park
State
Illinois
Zip
60302-1803
Phone Number
708-383-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.033543 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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