Individual provider · Type 1 NPI

Glenn Robert Groselak

General Practice Dentistry · Lemont, IL

NPI number 1962679035 Active

About NPI 1962679035

Glenn Robert Groselak's National Provider Identifier is 1962679035, issued on May 8, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lemont, IL. The record was last updated on May 8, 2008.