Individual
DR. GARY RALPH GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
440 FRONT ST, ELMER, NJ 08318-2177
(856) 358-8303
Mailing address
35 SUMMER DR, BERLIN, NJ 08009-9677
(856) 358-8303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11554
NJ
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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