Provider Demographics
NPI:1952525925
Name:GRILLI, DANIEL PINER (DDS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:PINER
Last Name:GRILLI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17100 GLENMOUNT PARK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4368
Mailing Address - Country:US
Mailing Address - Phone:281-488-2483
Mailing Address - Fax:281-488-3416
Practice Address - Street 1:17100 GLENMOUNT PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4368
Practice Address - Country:US
Practice Address - Phone:281-488-2483
Practice Address - Fax:281-488-3416
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX159861223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry