Individual
IVELISSE MARIE GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
6871 DANIELS PKWY STE 100, FORT MYERS, FL 33912-1510
(239) 288-0537
Mailing address
19442 THE PLACE BLVD, ESTERO, FL 33928-6585
(305) 301-8009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 22085
FL
Other
Enumeration date
08/04/2016
Last updated
07/22/2021
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