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1225239643
LARRY BLAINE GRILLO
AVENTURA, FL
NPI
1225239643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL 11083)
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
Dr. LARRY BLAINE GRILLO D.D.S.
18851 NE 29TH AVE # 301
AVENTURA, FL 33180-2808
Phone number: 305-682-1414
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Mailing Address
Dr. LARRY BLAINE GRILLO D.D.S.
18851 NE 29TH AVE # 301
AVENTURA, FL 33180-2808
Phone number: 305-682-1414
Copy
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