Individual
DR. GEORGE LOUIS GRILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
10215 FERNWOOD RD, SUITE 510, BETHESDA, MD 20817-1106
(301) 564-1400
(301) 564-1413
Mailing address
10215 FERNWOOD RD, SUITE 510, BETHESDA, MD 20817-1106
(301) 564-1400
(301) 564-1413
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
07800
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115951800
—
MD
Enumeration date
01/17/2007
Last updated
08/09/2011
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