Individual
DR. ANTHONY N R GRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2615 KENNEDY BLVD, JERSEY CITY, NJ 07306-4852
(201) 433-1171
(201) 433-0594
Mailing address
2615 KENNEDY BLVD, JERSEY CITY, NJ 07306
(201) 433-1171
(201) 433-0594
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI00760800
NJ
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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