DR. Mary Ellen Grilly, DDS

NPI #1982790879 in Danville, Illinois

Provider Information

NPI Number
1982790879
Entity Type
Individual
Name
DR. Mary Ellen Grilly, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Oct 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
139 N VERMILION ST
Address 2
SUITE 502
ZIP Code
61832-4718
Phone
(217) 446-7438

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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