DR. Bonny Gayle Grigor, DMD

NPI #1285760900 in Lago Vista, Texas

Provider Information

NPI Number: 1285760900
Entity Type: Individual
Name: DR. Bonny Gayle Grigor, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Feb 26, 2007
Last Updated: Jul 10, 2013

Practice Location

Address: 6015 LOHMANS FORD RD
Address 2: SUITE103
City: Lago Vista
State: Texas
ZIP Code: 78645-5105
Phone: (512) 267-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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