Individual
DR. BRANDON GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 282-6000
Mailing address
1256 HOLMAN AVE # B, POCATELLO, ID 83201-2907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5037
ID
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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