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Individual
INNA GRISHIN
Active
Individual
INNA GRISHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0
IN
122300000X
Dentist
Primary
12012306A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12012306A
DENTAL
IN
Enumeration date
05/01/2015
Last updated
01/30/2026
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