Individual
REGINALD GRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20265 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5307
(510) 537-3050
Mailing address
20265 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5307
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
31619
CA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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