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Dr. Cory A Grathwol, DMD
Pediatric Dentist in Naperville, Illinois
NPI 1467802736

Cory A Grathwol is a Pediatric Dentist based in Naperville, IL and is specialized in Pediatric Dentistry. Cory A Grathwol practices in Naperville, IL and has the professional credentials of DMD. The NPI Number for Cory A Grathwol is 1467802736 and holds a License No. (Illinois).

The current practice location address for Cory A Grathwol is 47 E Chicago Ave Ste 344, Naperville, IL and can be reached out via phone at 630-778-9500 and via fax at 630-778-9521.

Location: 47 E Chicago Ave Ste 344, Naperville, IL, 60540-5360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467802736
Provider Name
Cory A Grathwol
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
47 E Chicago Ave Ste 344, Naperville, IL, 60540-5360
Phone Number
630-778-9500
Fax Number
630-778-9521
Provider Enumeration Date
06/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
47 E Chicago Ave Ste 344
City
Naperville
State
Illinois
Zip
60540-5360
Phone Number
630-778-9500
Fax Number
630-778-9521
person
Provider Business Mailing Address Details
Address
47 E Chicago Ave Ste 344
City
Naperville
State
Illinois
Zip
60540-5360
Phone Number
630-778-9500
Fax Number
630-778-9521
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
019031567 (Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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