| NPI | 1053795070 |
|---|---|
| Doing Business As | GRASSY HILL DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER C. COGGUILLO President 475-777-5108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |