Organization
GREGORY G GRILLO DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG GRILLO DDS (OWNER)
(509) 826-4050
Entity
Organization
Contact information
Practice address
739 HAUSSLER RD, OMAK, WA 98841-9548
(509) 826-4050
(509) 826-0806
Mailing address
PO BOX 1841, 739 HAUSSLER RD, OMAK, WA 98841-1841
(509) 826-4050
(509) 826-0806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7526
WA
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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