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1487868337
THEODORE J GRELLNER
TAMPA, FL
NPI
1487868337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: FL 11456)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
-- THEODORE J GRELLNER D.D.S. PA
15310 AMBERLY DR SUITE 195
TAMPA, FL 33647-2199
Phone number: 813-972-3478
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Mailing Address
-- THEODORE J GRELLNER D.D.S. PA
15310 AMBERLY DR SUITE 195
TAMPA, FL 33647-2199
Phone number: 813-972-3478
Copy
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