Organization
GRIFFIN DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT GRIFFIN D.D.S. (PRESIDENT)
(843) 873-1202
Entity
Organization
Contact information
Practice address
512 N PINE ST, SUMMERVILLE, SC 29483-6555
(843) 873-1202
Mailing address
5172 BLAIR RD, SUMMERVILLE, SC 29483-5297
(843) 873-1202
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8852
SC
Other
Enumeration date
02/22/2017
Last updated
02/27/2017
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