Individual
NICOLE GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-9190
Mailing address
2000 RIVERSIDE DR APT 12N, RICHMOND, VA 23225-3671
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417040
VA
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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