| NPI | 1902814692 |
|---|---|
| Former Legal Business Name | GARY L GRILLI DDS & GARY F GRILLI DMD |
| Entity Type | Organization |
| Authorized Contact | GARY L GRILLI Owner 860-644-1509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 8941) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 4251) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |