Grilli Family Dental Care LLC

NPI #1902814692 in South Windsor, Connecticut

Provider Information

NPI Number: 1902814692
Entity Type: Organization
Organization Name: Grilli Family Dental Care LLC
Primary Specialty: Dentist
Enumeration Date: Aug 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 435 BUCKLAND ROAD
Address 2: MEDICAL ARTS BUILDING
City: South Windsor
State: Connecticut
ZIP Code: 06074
Phone: (860) 644-1509

Authorized Official

Name: DR. GARY L GRILLI, DDS
Title: OWNER
Phone: (860) 644-1509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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