Individual
DR. STUART LEE GRISWOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
303 1ST AVE NE, FAYETTE, AL 35555-2305
(205) 932-5290
(205) 932-5290
Mailing address
303 1ST AVE NE, FAYETTE, AL 35555-2305
(205) 932-5290
(205) 932-5290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4036
AL
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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