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Gary Grill, DDS
Periodontist in Santa Rosa, California
NPI 1518996099

Gary Grill is a Periodontist based in Stockton, CA and is specialized in Periodontics. Gary Grill practices in Santa Rosa, CA and has the professional credentials of DDS. The NPI Number for Gary Grill is 1518996099 and holds a License No. 27291 (California).

The current practice location address for Gary Grill is 1421 Guerneville Rd, Santa Rosa, CA and can be reached out via phone at 707-528-7000 and via fax at 707-528-2214. You can also correspond with Gary Grill through the mailing address at 555 W BENJAMIN HOLT DR, STOCKTON, CA - 95207-3839 (mailing address contact number: 209-476-4700).

Location: 1421 Guerneville Rd, Santa Rosa, CA, 95207-3839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518996099
Provider Name
Gary Grill
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1421 Guerneville Rd, Santa Rosa, CA, 95207-3839
Phone Number
707-528-7000
Fax Number
707-528-2214
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1421 Guerneville Rd
City
Santa Rosa
State
California
Zip
95403-7220
Phone Number
707-528-7000
Fax Number
707-528-2214
person
Provider Business Mailing Address Details
Address
555 W Benjamin Holt Dr
City
Stockton
State
California
Zip
95207-3839
Phone Number
209-476-4700
Fax Number
209-478-6890
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
27291 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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