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Individual
INA LAURIE GRIFFIN
Active
Individual
INA LAURIE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
013262
GA
122300000X
Dentist
Primary
17079
MD
122300000X
Dentist
1928-81
MS
122300000X
Dentist
23852
FL
122300000X
Dentist
4675
LA
1223E0200X
Endodontics
084-84
MS
1223E0200X
Endodontics
4675
LA
1223E0200X
Endodontics
DN23852
FL
Other
Enumeration date
11/21/2006
Last updated
11/14/2019
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