Grillo Dental, L.l.c.

NPI #1164877098 in South Windsor, Connecticut

Provider Information

NPI Number: 1164877098
Entity Type: Organization
Organization Name: Grillo Dental, L.l.c.
Primary Specialty: Dentist
Enumeration Date: Apr 28, 2016
Last Updated: Apr 28, 2016

Practice Location

Address: 498 BUCKLAND RD
City: South Windsor
State: Connecticut
ZIP Code: 06074-3708
Phone: (860) 648-2848

Authorized Official

Name: DR. ZACHARY GRILLO, D.M.D.
Title: PARTNER
Phone: (860) 648-2848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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