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Organization
DR. GRIFFIN E. MIZELL D.D.S
Active
Organization
DR. GRIFFIN E. MIZELL D.D.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRIFFIN E. MIZELL JR. (DOCTOR)
(229) 868-6615
Entity
Organization
Contact information
Practice address
100 W PARSONAGE ST, MC RAE, GA 31055-1735
(229) 868-6615
Mailing address
100 W PARSONAGE ST, MC RAE, GA 31055-1735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9762
GA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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