DR. Larry Blaine Grillo, D.D.S.

NPI #1225239643 in Aventura, Florida

Provider Information

NPI Number: 1225239643
Entity Type: Individual
Name: DR. Larry Blaine Grillo, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: May 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 18851 NE 29TH AVE
Address 2: # 301
City: Aventura
State: Florida
ZIP Code: 33180-2808
Phone: (305) 682-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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