Dr. William Albert Grella Jr., D.D.S.
Dentist in Long Beach, CA. Individual provider (NPI-1).
NPI number1780958751
StatusActive
Last updated in NPPESFeb 28, 2017
Details
- NPI
- 1780958751
- Entity type
- Individual (NPI-1)
- Name
- Dr. William Albert Grella Jr.
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2012
- Last updated
- Feb 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 61164 | CA | Yes |
Practice location
5175 E Pacific Coast Hwy201
Long Beach, CA 90804-3317
Phone 562-597-1543
Mailing address
5175 E Pacific Coast Hwy201
Long Beach, CA 90804-3317
Phone 562-597-1543
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