Individual
DR. ANDREW GRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
600 SHIREWOOD LN, MIDLAND, MI 48642-7065
(989) 600-8037
Mailing address
11323 WOLF DANCER PASS S # 101, FISHERS, IN 46037-4706
(989) 600-8037
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021823
MI
Other
Enumeration date
05/23/2016
Last updated
10/24/2019
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