DR. Juan E Grillo, DMD

NPI #1750453114 in Ponce, Puerto Rico

Provider Information

NPI Number: 1750453114
Entity Type: Individual
Name: DR. Juan E Grillo, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1980 PONCE BYP STE 104
Address 2: PUEBLO XTRA SHOPPING COURT
City: Ponce
State: Puerto Rico
ZIP Code: 00716-1904
Phone: (787) 848-8886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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