Individual
DR. MIGUEL AGUSTIN GRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
02/07/2007
Last updated
07/08/2007
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