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Organization

GRILLI FAMILY DENTAL CARE LLC

Active
Other names
Gary L Grilli DDS & Gary F Grilli DMD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY L GRILLI DDS (OWNER)
(860) 644-1509
Entity
Organization

Contact information

Practice address
435 BUCKLAND ROAD, MEDICAL ARTS BUILDING, SOUTH WINDSOR, CT 06074
(860) 644-1509
(860) 644-1509
Mailing address
435 BUCKLAND ROAD, MEDICAL ARTS BUILDING, SOUTH WINDSOR, CT 06074
(860) 644-1509
(860) 644-1509

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
4251
CT
122300000X
Dentist
Primary
8941
CT

Other

Enumeration date
08/04/2006
Last updated
08/22/2020
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