Organization
MIGUEL GRILLO, DMD
Active
Other names
Prosthodontic Specialist of San Diego
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA L CARRILLO (OFFICE MANAGER)
(858) 755-9810
Entity
Organization
Contact information
Practice address
12264 EL CAMINO REAL STE 306, SAN DIEGO, CA 92130-3062
(858) 755-9810
(858) 755-9813
Mailing address
12264 EL CAMINO REAL STE 306, SAN DIEGO, CA 92130-3062
(858) 755-9810
(858) 755-9813
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
41411
CA
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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