Individual
DOMINICK JOSEPH GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2733 HORSE PEN CREEK RD STE 107, GREENSBORO, NC 27410-8538
(336) 854-9270
Mailing address
5404 FOX TERRIER DR, OAK RIDGE, NC 27310-9507
(516) 965-2089
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10819
NC
Other
Enumeration date
08/13/2017
Last updated
08/13/2017
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