NPI | 1740428374 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY B GRILLO President/Owner 305-682-1414 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN11083) |
Enumeration Date | 2009-02-04 |
Last Update Date | 2009-02-04 |