Male or Other

Dr. Andrew Grillo D.D.S.

Dentist in Midland, MI(View on Map)

Full Name

Dr. Andrew Grillo D.D.S.

NPI Number

1013364736

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/23/2016

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

2901021823

Contact
Information

Purpose

Mailing
Location

Address

11323 WOLF DANCER PASS S # 101
600 SHIREWOOD LN

City

Fishers
Midland

State

IN
MI

Postal Code

46037-4706
48642-7065

Country

US
US

Telephone Number

(989) 600-8037
(989) 600-8037

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/24/2019

Provider Address

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