| Grillo Dental, L.l.c. | |
|
498 Buckland Rd South Windsor CT 06074-3708 | |
| (860) 648-2848 | |
| (860) 648-2893 |
| Full Name | Grillo Dental, L.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 498 Buckland Rd, South Windsor, Connecticut |
| Authorized Official Name and Position | Zachary Grillo (PARTNER) |
| Authorized Official Contact | 8606482848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grillo Dental, L.l.c. 498 Buckland Rd South Windsor CT 06074-3708 Ph: (860) 648-2848 | Grillo Dental, L.l.c. 498 Buckland Rd South Windsor CT 06074-3708 Ph: (860) 648-2848 |
| NPI Number | 1164877098 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164877098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5791 (Connecticut) | Secondary |
| 122300000X | Dentist | 010565 (Connecticut) | Primary |
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