Individual
DR. MARY ELLEN GRILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
139 N VERMILION ST, SUITE 502, DANVILLE, IL 61832-4718
(217) 446-7438
(217) 443-2233
Mailing address
139 N VERMILION ST, SUITE 502, DANVILLE, IL 61832-4718
(217) 446-7438
(217) 443-2233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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