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1629811278
SCOTT CHARLES GRILLIOT
POCATELLO, ID
NPI
1629811278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D-5639)
Enumeration Date
2024-06-13
Last Update Date
2024-06-24
Business Address
SCOTT CHARLES GRILLIOT DMD
921 S 8TH AVE STOP 8088
POCATELLO, ID 83209-4008
Phone number: 208-282-1040
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Mailing Address
SCOTT CHARLES GRILLIOT DMD
1500 E VENTURE WAY APT 3104
POCATELLO, ID 83201-1203
Phone number: 309-830-5306
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