SCOTT CHARLES GRILLIOT

POCATELLO, ID
NPI1629811278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D-5639)
Enumeration Date2024-06-13
Last Update Date2024-06-24
Business Address
SCOTT CHARLES GRILLIOT DMD
921 S 8TH AVE STOP 8088
POCATELLO, ID 83209-4008
Phone number: 208-282-1040
Mailing Address
SCOTT CHARLES GRILLIOT DMD
1500 E VENTURE WAY APT 3104
POCATELLO, ID 83201-1203
Phone number: 309-830-5306