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MIGUEL GRILLO DMD NPI 1831414200


NPI Information

NPI: 1831414200
Provider Name: MIGUEL GRILLO, DMD

Other Name: PROSTHODONTIC SPECIALIST OF SAN DIEGO

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
12264 EL CAMINO REAL STE 306
SAN DIEGO, CA
ZIP 92130
Phone: (858) 755-9810
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MIGUEL GRILLO, DMD is a prosthodontics dentist in San Diego, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. MIGUEL GRILLO, DMD NPI is 1831414200. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Prosthodontic Specialist Of San Diego.

The provider's business location address is:

12264 EL CAMINO REAL STE 306
SAN DIEGO, CA
ZIP 92130-062
Phone: (858) 755-9810
Fax: (858) 755-9813

The provider's authorized official is Vanessa L Carrillo .
The authorized official title is Office Manager and has the following contact phone number (858) 755-9810.

The enumeration date for this NPI number is 3/29/2010 and was last updated on 3/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0700XDentistProsthodontics41411CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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