Individual provider · Type 1 NPI

Sang Soo John Grzesik, DDS

General Practice Dentistry · Great Lakes, IL

NPI number 1952371031 Active

About NPI 1952371031

Sang Soo John Grzesik, DDS's National Provider Identifier is 1952371031, issued on Jan 23, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Great Lakes, IL. The record was last updated on Oct 26, 2007.