Grillo, Miguel Agustin

Grillo, Miguel Agustin is an sole proprietor health care provider with primary practice located at 12264 El Camino Real Ste 306 , San Diego CA 92130-3062. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Grillo, Miguel Agustin can be contacted via phone (858) 755-9810.

Contact Information

Primary practice address
12264 El Camino Real Ste 306 San Diego CA 92130-3062
Fax: (858) 755-9813
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 41411 California

Profile Details

NPI number 1942340104
LBN Legal business name Grillo, Miguel Agustin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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