Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Miguel Agustin Grillo, MD

Individual provider Prosthodontics · NPI 1942340104

Dr. Miguel Agustin Grillo, MD is a Prosthodontics in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12264 El Camino Real Ste 306
San Diego, CA 92130-3062
Phone: (858) 755-9810
Fax: (858) 755-9813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 41411 (CA)

Record details

NPI number1942340104
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJuly 8, 2007

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