Individual
DR. JUSTIN WALLACE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10136 TWO NOTCH RD, SUITE 5, COLUMBIA, SC 29229-4389
(803) 788-0099
(803) 788-0040
Mailing address
5 ABBEYHILL CT, COLUMBIA, SC 29229-7423
(803) 462-0092
(803) 788-0099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3770
SC
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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