Individual
DR. MATT TAVIS GRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
207 E 31ST ST, SAVANNAH, GA 31401-7304
(912) 232-2779
Mailing address
436 E OGLETHORPE AVE, SAVANNAH, GA 31401-3805
(843) 290-0573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013009
GA
Other
Enumeration date
09/07/2005
Last updated
03/30/2010
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